2024 |
McRae SE, Kelly M, Bowman J, Schofield PW, Wong D, 'Neuropsychological feedback: a survey of Australian clinical practice', Australian Psychologist, 59 36-45 (2024) [C1]
Objective: There is increasing evidence for the benefits of providing neuropsychological assessment feedback to patients and caregivers, but the current practices of clinical neur... [more]
Objective: There is increasing evidence for the benefits of providing neuropsychological assessment feedback to patients and caregivers, but the current practices of clinical neuropsychologists are unclear. This survey study aimed to determine the provision of neuropsychological feedback practices by Australian neuropsychologists across a range of settings and patient groups. Method: An online survey was circulated to eligible practising clinicians via an Australian Google Group of clinical neuropsychologists. The survey comprised demographic, education, and practice-related questions, followed by questions relating to the participants¿ training, experience and confidence in providing neuropsychological feedback. Participants were also asked about the usefulness and barriers to feedback. Results: Of the 102 clinicians who participated, 60% reported that they routinely provide neuropsychological assessment feedback and a further 16% provide it frequently. Participants reported high confidence in their capacity to provide feedback. However, there was variability across different patient groups, with the highest frequency of routine feedback seen in the paediatric setting and the lowest in the areas of mild cognitive impairment and dementia. The duration and aims of feedback were relatively consistent, with most sessions lasting 30¿60 minutes and covering similar themes. Conclusions: In summary, Australian neuropsychologists who participated are providing regular neuropsychological feedback services across a range of patient groups and are confident to do so. However, there were substantial differences in the frequency of feedback provided across patient groups. Further research is needed to determine the effectiveness of neuropsychological feedback across patient groups and the barriers to providing routine feedback, particularly for older adults.
|
|
Nova |
2023 |
Regan C, Dray J, Fehily C, Campbell E, Bartlem K, Orr M, et al., 'Co-development of implementation strategies to assist staff of a mental health community managed organisation provide preventive care for health behaviours', Health Promotion Journal of Australia, (2023) [C1]
Issue Addressed: People with a mental health condition are at risk of developing chronic physical disease due to smoking tobacco, inadequate nutrition, high alcohol consumption, l... [more]
Issue Addressed: People with a mental health condition are at risk of developing chronic physical disease due to smoking tobacco, inadequate nutrition, high alcohol consumption, low physical activity and poor sleep (SNAPS). Community managed organisations (CMOs) represent an opportune setting to support mental health consumers to improve their health behaviours through providing preventive care. Reporting of methods used to co-develop implementation strategies to assist CMO staff to deliver preventive care for SNAPS are scarce yet warranted. Objectives: This study aims to: (1) describe a co-development workshop involving CMO staff and researchers to identify preferred implementation support strategies to help staff routinely provide preventive care; (2) describe the strategies that emerged from the workshop; and (3) report staff ratings of the workshop on four co-development principles. Methods: A three-hour co-development workshop was conducted on two occasions with staff of one CMO in New South Wales, Australia. Twenty staff participated in the workshops. Results: Participants generated and ranked a total of seven discrete implementation strategies within five categories (training, point of care prompts, guidelines, continuous quality improvement and consumer activation). Training for staff to have difficult conversations about behaviour change was ranked highest in both workshops. Participants rated the workshops positively across four co-development principles. Conclusions: The co-development workshop enabled implementation strategies to be developed within the context in which they were to be delivered and tested, potentially increasing their feasibility, acceptability, appropriateness and impact. So What?: Implementation strategies selected from the workshops will inform a pilot implementation support trial to assist CMO staff to provide preventive care to people with mental health conditions.
|
|
|
2023 |
Metse AP, Eastwood P, Ree M, Lopresti A, Scott JJ, Bowman J, 'Sleep health of young adults in Western Australia and associations with physical and mental health: A population-level cross-sectional study.', Aust N Z J Public Health, 47 100070 (2023) [C1]
|
|
Nova |
2023 |
Regan C, Bartlem K, Fehily C, Campbell E, Lecathelinais C, Doherty E, et al., 'Evaluation of an implementation support package to increase community mental health clinicians' routine delivery of preventive care for multiple health behaviours: a non-randomised controlled trial.', Implement Sci Commun, 4 137 (2023) [C1]
|
|
Nova |
2023 |
Russell DI, Reynolds AC, Appleton SL, Adams RJ, Correia H, Bowman JA, et al., 'Use of Insomnia Treatments and Discussions About Sleep with Health Professionals Among Australian Adults with Mental Health Conditions', Nature and Science of Sleep, Volume 15 623-637 [C1]
|
|
Nova |
2023 |
Fehily C, Jackson B, Hansen V, Stettaford T, Bartlem K, Clancy R, Bowman J, 'Increasing chronic disease preventive care in community mental health services: clinician-generated strategies.', BMC Psychiatry, 23 933 (2023) [C1]
|
|
Nova |
2022 |
Hanly G, Campbell E, Bartlem K, Dray J, Fehily C, Bradley T, et al., 'Effectiveness of referral to a population-level telephone coaching service for improving health risk behaviours in people with a mental health condition: study protocol for a randomised controlled trial', TRIALS, 23 (2022)
|
|
|
2022 |
Bradley T, Campbell E, Dray J, Bartlem K, Wye P, Hanly G, et al., 'Systematic review of lifestyle interventions to improve weight, physical activity and diet among people with a mental health condition', SYSTEMATIC REVIEWS, 11 (2022) [C1]
|
|
Nova |
2022 |
Clinton-McHarg T, Gibson L, Bartlem K, Murray S, Ryall J, Orr M, et al., 'Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation.', International journal of environmental research and public health, 19 4458 (2022) [C1]
|
|
Nova |
2022 |
Dray J, Gibson L, Clinton-McHarg T, Byrnes E, Wynne O, Bartlem K, et al., 'Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders.', International journal of environmental research and public health, 19 5533 (2022) [C1]
|
|
Nova |
2022 |
Lodge S, Bartlem K, Gibson L, Fehily C, Bradley T, McKeon E, et al., 'Characteristics and service use of NSW Quitline callers with and without mental health conditions.', Frontiers in psychiatry, 13 868084 (2022) [C1]
|
|
Nova |
2022 |
Regan C, Fehily C, Campbell E, Bowman J, Faulkner J, Oldmeadow C, Bartlem K, 'Clustering of chronic disease risks among people accessing community mental health services', PREVENTIVE MEDICINE REPORTS, 28 (2022) [C1]
|
|
Nova |
2022 |
Fehily C, McKeon E, Stettaford T, Campbell E, Lodge S, Dray J, et al., 'The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022)
|
|
|
2021 |
Metse AP, Fehily C, Clinton-McHarg T, Wynne O, Lawn S, Wiggers J, Bowman JA, 'Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional study', BMC PUBLIC HEALTH, 21 (2021) [C1]
|
|
Nova |
2021 |
Jackson MA, Brown AL, Johnston J, Clancy R, McGregor I, Bruno R, et al., 'The use and effects of synthetic cannabinoid receptor agonists by New South Wales cannabis treatment clients.', Journal of cannabis research, 3 33 (2021) [C1]
|
|
Nova |
2021 |
Bradley T, Hansen V, Wye P, Campbell E, Bartlem K, Reid K, Bowman J, 'Telephone-delivered health behaviour change support for people with a mental health condition: the coaches perspective', BMC Health Services Research, 21 (2021) [C1]
Background: People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable hea... [more]
Background: People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable health risk behaviours, such as physical inactivity and poor nutrition are major contributing factors. Population-level health coaching delivering behavioural change support via telephone for healthy eating, physical activity, and weight management is an opportunity utilised by this group to support improvement in healthy lifestyle behaviours. Health coaches offer a valuable perspective into the provision of services to this high-risk group. This study aims to qualitatively explore coaches¿ experiences in providing support to these participants, consider factors which may contribute to engagement and outcomes; and potentially inform future service improvement. Method: A qualitative study design was employed involving semi-structured telephone interviews with six coaches employed in a telephone-based behaviour change support service in New South Wales, Australia, between April and July 2019. Interview data was analysed using an inductive thematic analysis. Results: Coaches believed that the service was of benefit to people with a mental health condition, however making changes to health risk behaviours was potentially more difficult for this group of service users. Coaches indicated that in supporting this group there was a greater focus on building confidence and readiness to change. They noted that improvement in mental health as a result of physical health changes was an additional ¿measure of success¿ of particular relevance. Coaches expressed a desire to receive more mental health training to better deliver coaching to participants with a mental health condition. Program variables such as limited call length were posed as possible barriers to care. Conclusion: Further training and additional support for coaches, in additon to considering variations to aspects of service delivery may assist in improving engagement and outcomes for participants with mental health conditions. Examining mental health consumers¿ experiences when engaging with telephone coaching services would be an important area to address in further research.
|
|
Nova |
2021 |
Metse AP, Clinton-Mcharg T, Skinner E, Yogaraj Y, Colyvas K, Bowman J, 'Associations between suboptimal sleep and smoking, poor nutrition, harmful alcohol consumption and inadequate physical activity ( snap risks ): A comparison of people with and without a mental health condition in an australian community survey', International Journal of Environmental Research and Public Health, 18 (2021) [C1]
Introduction: People with a mental health condition experience disproportionate morbidity and mortality compared to the general population. This inequity has been largely attribut... [more]
Introduction: People with a mental health condition experience disproportionate morbidity and mortality compared to the general population. This inequity has been largely attributed to a higher prevalence of chronic disease risk behaviours including smoking, poor nutrition, harmful alcohol consumption and inadequate physical activity (¿SNAP risks¿). Suboptimal sleep is highly prevalent among people with a mental health condition and, as an identified risk behaviour for several chronic diseases, has been implicated as an additional contributor to this health inequity. Research involving people without a mental health condition suggests associations between poor sleep and each SNAP risk; however, interactions with mental health status have not been reported in an Australian population. This study explored associations between suboptimal sleep and all four SNAP risks, and assessed whether they vary by mental health status. Materials and Methods: A descriptive study (n = 1265) was undertaken using self-report data from a cross-sectional telephone survey of Australian adults. Based on national guidelines and recommendations that indicate when someone might be at risk of adverse health effects, SNAP risks and sleep variables were reduced to two levels: ¿at risk¿ or ¿not at risk¿; and ¿appropriate¿ or ¿suboptimal¿, respectively. Chi square tests and multivariable logistic regression models explored associations between suboptimal sleep, SNAP risks and mental health status. Results: Fifteen per cent (n = 184) of participants identified as having a mental health condition in the past 12 months. Being at risk of adverse health effects due to smoking had the strongest association with several measures of suboptimal sleep (ps < 0.05). Two-way interactions revealed that being at risk of adverse health effects due to alcohol use and physical inactivity resulted in a significantly greater likelihood of suboptimal sleep duration (OR 3.06, 95% CI 1.41 to 6.64; OR 3.06, 95% CI 1.41 to 6.69) and nap duration (OR 7.96, 95% CI 1.90 to 33.22), respectively, for people with a mental health condition compared to those without. Conclusions: The findings suggest associations between suboptimal sleep and smoking, risky alcohol consumption and physical inactivity, with the latter two perhaps being stronger among people with a mental health condition compared to those without such a condition. Poor sleep should be considered in interventions to address smoking, alcohol and physical activity; and vice versa. This study lends further support for the value of multirisk lifestyle interventions to promote physical and mental health for people with mental health conditions.
|
|
Nova |
2021 |
Gibson L, Bartlem K, Clinton-McHarg T, Wilczynska M, Rasmussen A, Bailey J, et al., 'The Provision of Preventive Care for Chronic Disease Risk Behaviours to People with a Mental Health Condition: A Survey of Staff from One Australian Community Managed Organisation', Journal of Psychosocial Rehabilitation and Mental Health, 8 191-198 (2021) [C1]
People with mental health conditions have a median reduced life expectancy of 10¿years, largely due to a higher prevalence of chronic diseases. Health risk behaviours, including t... [more]
People with mental health conditions have a median reduced life expectancy of 10¿years, largely due to a higher prevalence of chronic diseases. Health risk behaviours, including tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption and physical inactivity, contribute substantially to the burden of chronic disease for this population. Community Managed Organisations (CMOs) may have an important role in addressing these behaviours among consumers with a mental health condition; however, little previous research has explored the provision of preventive care from these organisations. To fill this research gap, a cross-sectional online survey was conducted between August and November 2017 with staff (n = 174) of one CMO which has multiple services in two states of Australia. The survey explored the provision of preventive care for four key health risk behaviours. Optimal preventive care (to = 80% consumers for all four behaviours) was reported more frequently for brief advice (28%) and assessment (26%), than for assistance (13%) and referring/connecting consumers to services for help (12%) with modifying health risk behaviours. Preventive care to = 80% consumers was least frequently reported for alcohol consumption and most frequently reported for physical activity. The provision of preventive care for health risk behaviours appears to be part of CMO staffs¿ existing practice; however, it does not appear to be routinely provided across all behaviours. Further research exploring the barriers and facilitators to providing preventive care is needed to understand how CMOs may better support people with a mental health condition to improve their health risk behaviours.
|
|
Nova |
2021 |
Bartlem K, Gibson L, Fehily C, Lodge S, Wiggers J, Bowman J, 'Multiple health behaviours and interest in change among people with a mental health condition: A brief report', Preventive Medicine Reports, 22 (2021) [C1]
People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that ... [more]
People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that increase the risk of chronic disease development. Amongst this population there is little understanding of multiple risk behaviour co-occurrence and client interest in improving multiple such risks. A cross-sectional survey was undertaken with a random selection of 557 clients of 12 community mental health services in Australia. Participants reported their engagement in health risk behaviours (tobacco smoking, harmful alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity), and those deemed ¿at risk¿ reported whether they were seriously considering improving their risk behaviours. Almost all participants engaged in at least one risk behaviour (96.1%), with 78.4% of participants engaging in two or more risk behaviours. Of those with two risks, the most frequently paired behaviours were inadequate fruit and vegetable consumption and inadequate physical activity (39.7%); of those with three risks the most common combination was inadequate fruit and vegetable consumption, tobacco smoking and harmful alcohol consumption (42.5%). Of those at risk for all behaviours, 68.4% were interested in improving multiple behaviours, and 14% were interested in improving all; with these participants being most frequently interested in changing smoking, nutrition, and physical activity (19.3%), followed by all risk behaviours (14.0%). The findings strengthen the evidence that people with a mental illness are interested in improving their health risk behaviours and indicate a need to address the multiple health risks in this population group.
|
|
Nova |
2021 |
Gibson L, Clinton-McHarg T, Wilczynska M, Latter J, Bartlem K, Henderson C, et al., 'Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations', Preventive Medicine Reports, 23 (2021) [C1]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases a... [more]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases and higher rates of tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity and poor sleep behaviours. Community managed organisations (CMOs) may play a valuable role in providing preventive care to people with mental health conditions (consumers) to address these health behaviours. This paper reports the findings of a cross-sectional survey undertaken between November 2018 and February 2019 with leaders of CMOs (n = 76) that support people with mental health conditions in the state of New South Wales, Australia to: 1) measure the provision of preventive care (screening, support, and connections to specialist services) for five health behaviours; 2) identify the presence of key organisational features (e.g., data collection, staff training); and 3) explore if these organisational features were associated with the provision of preventive care. Preventive care provision to a majority of consumers (50% or more) was least frequently reported for tobacco smoking and most frequently reported for physical activity. Staff training and guidelines regarding the provision of preventive care were associated with the provision of such care. The results demonstrate that CMOs are already engaged in providing preventive care to some extent, with certain behaviours and preventive care elements addressed more frequently than others. Further research with additional CMO stakeholders, including staff and consumers, is needed to gain a deeper understanding of factors that may underlie CMOs capacity to routinely provide preventive care.
|
|
Nova |
2021 |
Bradley T, Bartlem K, Colyvas K, Wye P, Campbell E, Reid K, Bowman J, 'Examining service participation and outcomes from a population-level telephone-coaching service supporting changes to healthy eating, physical activity and weight: A comparison of participants with and without a mental health condition', Preventive Medicine Reports, 24 (2021) [C1]
Population-level telephone coaching services provide accessible behaviour change support for modifiable health risk behaviours. The NSW Get Healthy Information and Coaching Servic... [more]
Population-level telephone coaching services provide accessible behaviour change support for modifiable health risk behaviours. The NSW Get Healthy Information and Coaching Service® (GHS) is a free telephone-based coaching service in Australia, supporting improvements in healthy eating, physical activity and achieving or maintaining a healthy weight. This study compared measures of participation (such as program completion) and outcomes achieved immediate post-program (including changes in fruit and vegetable consumption, physical activity and weight) for GHS participants with and without a self-identified mental health condition (MHC). Secondary data analysis was conducted on service data collected at program intake and completion for individuals who enrolled in a coaching program between January 2018 and October 2019 (n = 5,629); 33% identified as having had an MHC. While those with and without an MHC had similar rates of completion, those with an MHC were less likely to complete a coaching program (31% vs 36%, p = .003). Participants with an MHC made significant positive changes to their fruit and vegetable consumption, physical activity (walking and moderate), weight and BMI, but not to waist circumference or vigorous physical activity. When comparing the magnitude of change for those with and without an MHC, individuals without made greater improvements to their weight (adjusted mean difference -0.623 kg, p = .034) and daily vegetable intake (adjusted mean difference -0.199 serves; p = .01). There were no differences for other variables. The GHS is an effective means of supporting behaviour change for people with an MHC who complete a coaching program. Further research should consider means of improving retention rates.
|
|
Nova |
2021 |
Metse AP, Fehily C, Clinton-McHarg T, Wynne O, Lawn S, Wiggers J, Bowman JA, 'Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional (vol 21, pg 463, 2021)', BMC PUBLIC HEALTH, 21 (2021)
|
|
|
2021 |
Byaruhanga J, Paul CL, Wiggers J, Byrnes E, Mitchell A, Lecathelinais C, et al., 'The short-term effectiveness of real-time video counselling on smoking cessation among residents in rural and remote areas: An interim analysis of a randomised trial', Journal of Substance Abuse Treatment, 131 (2021) [C1]
Background: Real-time video counselling for smoking cessation uses readily accessible software (e.g. Skype). This study aimed to assess the short-term effectiveness of real-time v... [more]
Background: Real-time video counselling for smoking cessation uses readily accessible software (e.g. Skype). This study aimed to assess the short-term effectiveness of real-time video counselling compared to telephone counselling or written materials (minimal intervention control) on smoking cessation and quit attempts among rural and remote residents. Methods: An interim analysis of a three-arm, parallel group randomised trial with participants (n = 655) randomly allocated to; 1) real-time video counselling; 2) telephone counselling; or 3) written materials only (minimal intervention control). Participants were daily tobacco users aged 18 years or older residing in rural or remote areas of New South Wales, Australia. Video and telephone counselling conditions offered up to six counselling sessions while those in the minimal intervention control condition were mailed written materials. The study measured seven-day point prevalence abstinence, prolonged abstinence and quit attempts at 4-months post-baseline. Results: Video counselling participants were significantly more likely than the minimal intervention control group to achieve 7-day point prevalence abstinence at 4-months (18.9% vs 8.9%, OR = 2.39 (1.34¿4.26), p = 0.003), but the video (18.9%) and telephone (12.7%) counselling conditions did not differ significantly for 7-day point prevalence abstinence. The video counselling and minimal intervention control groups or video counselling and telephone counselling groups did not differ significantly for three-month prolonged abstinence or quit attempts. Conclusion: Given video counselling may increase cessation rates at 4 months post-baseline, quitlines and other smoking cessation services may consider integrating video counselling into their routine practices as a further mode of cessation care delivery. Trial registration: www.anzctr.org.au ACTRN12617000514303.
|
|
Nova |
2020 |
Metse AP, Bowman JA, 'Prevalence of self-reported suboptimal sleep in Australia and receipt of sleep care: results from the 2017 National Social Survey', Sleep Health, 6 100-109 (2020) [C1]
Objectives: The National Sleep Foundation's (NSFs) sleep duration recommendations and quality indicators enable trichotomous classification of sleep parameters as ¿appropriat... [more]
Objectives: The National Sleep Foundation's (NSFs) sleep duration recommendations and quality indicators enable trichotomous classification of sleep parameters as ¿appropriate¿, ¿may be appropriate¿ or ¿inappropriate¿, with the latter representing ¿suboptimal¿ sleep. This study reports the prevalence of self-reported suboptimal sleep and associated demographics in a large sample of Australian adults. In addition, reported are rates of suboptimal sleep assessment by health-care clinicians/services and receipt of and desire for sleep care, and their associations with suboptimal sleep. Design/Setting/Participants: A descriptive study (N = 1265) was undertaken using data derived from a cross-sectional telephone survey of Australian adults undertaken in 2017. Measurement/Analysis: Descriptive statistics summarised the prevalence of suboptimal sleep, and chi-square and multivariable logistic regression analyses explored associations between suboptimal sleep, demographics and receipt of/interest in sleep care. Results: Almost half of participants (42%) were considered to have suboptimal sleep: 19% met criteria on one parameter, 13% on 2, 11% on =3. The highest prevalence of suboptimal sleep was seen on measures of sleep duration (20%-23%). Participants who were single, female, middle-aged (26-64) and of low socioeconomic status were more likely to experience suboptimal sleep (p<0.01). Rates of assessment and treatment are currently suboptimal: 16% reported their sleep had been assessed and 10% received at least one element of sleep care, most commonly pharmacotherapy (43%). Conclusions: Suboptimal sleep is prevalent in Australia, and rates of assessment and treatment are currently low. Finding supports the need for a coordinated population health strategy to improve the sleep health of Australians.
|
|
Nova |
2020 |
Tremain D, Freund M, Wolfenden L, Bowman J, Dunlop A, Bartlem K, et al., 'The provision of preventive care for modifiable health risk behaviours by clinicians within substance use treatment settings: A systematic review', PREVENTIVE MEDICINE, 130 (2020) [C1]
|
|
Nova |
2020 |
Fehily C, Latter J, Bartlem K, Wiggers J, Bradley T, Rissel C, et al., 'Awareness and use of telephone-based behaviour change support services among clients of a community mental health service', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 44 482-488 (2020) [C1]
|
|
Nova |
2020 |
Fehily CMC, Bartlem KM, Wiggers JH, Hodder RK, Gibson LK, Hancox N, Bowman JA, 'Uptake of a preventive care consultation offered to clients of a community mental health service', Preventive Medicine Reports, 18 (2020) [C1]
|
|
Nova |
2020 |
Tremain D, Freund M, Bowman J, Wolfenden L, Wye P, Dunlop A, et al., 'Substance use treatment clinician attitudes to care for chronic disease health risk behaviours and associations of attitudes with care provision', Drug and Alcohol Review, 39 232-237 (2020) [C1]
Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health risk behaviours. Preventive care to address such risks has not traditi... [more]
Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health risk behaviours. Preventive care to address such risks has not traditionally been provided during substance use treatment. This study aimed to assess clinicians' attitudes towards preventive care and their association with care provision. Design and Methods: A cross-sectional study utilising computer-assisted telephone interviews was undertaken with clinicians (n = 54) of community-based substance use treatment services in one health district, Australia. Clinicians indicated their agreement with 10 attitudinal statements regarding their perceived role and self-efficacy in providing preventive care and perceptions of client interest in modifying behaviours. Logistic regression analyses examined the association between clinician attitudinal items and self-reported care provision. Results: Fifty-four clinicians (74%) agreed to participate. The most positive attitudes were preventive care being part of their role (100%), and they have the knowledge and skills to provide preventive care (100%). The least favourable attitude was clients were interested in changing their health risk behaviours (60%). Clinicians who reported that preventive care left little time to undertake acute care were more likely to assess for smoking (OR 8.06 [95% CI 1.31, 49.46]) and less likely to provide brief advice for all risks combined (OR 0.11 [95% CI 0.02, 0.63]). Discussion and Conclusions: Overall, clinicians reported positive attitudes regarding the preventive care provision for modifiable health risk behaviours in substance use treatment settings. Further research is required to investigate why, despite such positive attitudes, clinicians in substance use treatment settings do not routinely provide preventive care.
|
|
Nova |
2020 |
Fehily CMC, Bartlem KM, Wiggers JH, Wye PM, Clancy RV, Castle DJ, et al., 'Effectiveness of embedding a specialist preventive care clinician in a community mental health service in increasing preventive care provision: A randomised controlled trial', Australian and New Zealand Journal of Psychiatry, 54 620-632 (2020) [C1]
|
|
Nova |
2020 |
Fehily C, Ling R, Searles A, Bartlem K, Wiggers J, Hodder R, et al., 'An economic evaluation of a specialist preventive care clinician in a community mental health service: A randomised controlled trial', BMC Health Services Research, 20 (2020) [C1]
|
|
Nova |
2020 |
Stuart AM, Baker AL, Denham AMJ, Lee NK, Hall A, Oldmeadow C, et al., 'Psychological treatment for methamphetamine use and associated psychiatric symptom outcomes: A systematic review', Journal of Substance Abuse Treatment, 109 61-79 (2020) [C1]
Background: Regular methamphetamine use is associated with increased rates of psychiatric symptoms. Although there has been a substantial body of research reporting on the effecti... [more]
Background: Regular methamphetamine use is associated with increased rates of psychiatric symptoms. Although there has been a substantial body of research reporting on the effectiveness of psychological treatments for reducing methamphetamine use, there is a paucity of research examining the effects of these treatments on co-occurring psychiatric symptoms. We addressed this gap by undertaking a systematic review of the evidence of the effectiveness of psychological treatments for methamphetamine use on psychiatric symptom outcomes in randomized controlled trials. Methods: A narrative synthesis of studies was conducted following the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement to inform methodology. Eight electronic peer-reviewed databases were searched. Ten eligible studies were assessed. Results: Most studies found an overall reduction in levels of methamphetamine use and psychiatric symptoms among samples as a whole. Although brief interventions were effective, there is evidence that more intensive interventions have greater impact on methamphetamine use and/or psychiatric symptomatology. Intervention attendance was variable. Conclusions: The evidence suggests that a variety of psychological treatments are effective in reducing levels of methamphetamine use and improving psychiatric symptoms. Future research should consider how psychological treatments could maximize outcomes in the co-occurring domains of methamphetamine use and psychiatric symptoms, with increasing treatment attendance as a focus. PROSPERO registration number: CRD42016043657.
|
|
Nova |
2020 |
Bailey JM, Clinton-McHarg TL, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Preventive care for physical activity and fruit and vegetable consumption: a survey of family carer expectations of health service delivery for people with a mental health condition', BMC HEALTH SERVICES RESEARCH, 20 (2020) [C1]
|
|
Nova |
2020 |
Bradley T, Bartlem K, Campbell E, Wye P, Rissel C, Reid K, et al., 'Characteristics of participants utilising a telephone-based coaching service for chronic disease health risk behaviours: A retrospective examination comparing those with and without a mental health condition', Preventive Medicine Reports, 19 (2020) [C1]
|
|
Nova |
2020 |
Fehily C, Hodder R, Bartlem K, Wiggers J, Wolfenden L, Dray J, et al., 'The effectiveness of interventions to increase preventive care provision for chronic disease risk behaviours in mental health settings: A systematic review and meta-analysis', Preventive Medicine Reports, 19 (2020) [C1]
|
|
Nova |
2019 |
Clancy R, Lewin TJ, Bowman JA, Kelly BJ, Mullen AD, Flanagan K, Hazelton MJ, 'Providing physical health care for people accessing mental health services: Clinicians perceptions of their role', International Journal of Mental Health Nursing, 28 256-267 (2019) [C1]
The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate ... [more]
The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate that mental health services should address physical health of people who access services. This study reports results from a large, interdisciplinary, cross-sectional study exploring mental health clinicians¿ (n¿=¿385) views of role legitimacy in physical health service provision. All disciplines reported that mental health clinicians have a role to play in addressing the physical health of consumers. Among mental health clinicians, psychiatrists and mental health nurses received higher endorsement than allied health clinicians in relation to the provision of physical health care, with primary care providers including general practitioners also ranking highly. As community mental health services routinely appoint allied health staff to case management roles, a challenge for services and a challenge for clinicians are to ensure that physical health and the effects of medication are monitored appropriately and systematically. Online and telephone support services received relatively lower endorsement. As the availability of nonface to face services increases, there is a need to explore their utility in this population and where appropriate promote their uptake.
|
|
Nova |
2019 |
Bartlem K, Wolfenden L, Colyvas K, Campbell L, Freund M, Doherty E, et al., 'The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change.', Preventive Medicine, 123 308-315 (2019) [C1]
|
|
Nova |
2019 |
Metse AP, Stockings E, Bailey J, Regan T, Bartlem K, Wolfenden L, et al., 'Rates of retention of persons with a mental health disorder in outpatient smoking cessation and reduction trials, and associated factors: protocol for a systematic review and meta-analysis', BMJ OPEN, 9 (2019)
|
|
Nova |
2019 |
Bailey JM, Bartlem KM, Wiggers JH, Wye PM, Stockings EAL, Hodder RK, et al., 'Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services', Preventive Medicine Reports, 16 (2019) [C1]
|
|
Nova |
2019 |
Stockings E, Black N, Bartlem KM, Metse AP, Regan T, Bailey JM, et al., 'Outpatient interventions for smoking cessation and reduction for adults with a mental disorder', Cochrane Database of Systematic Reviews, 2019 (2019)
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to determine the effectiveness of smoking reduction... [more]
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to determine the effectiveness of smoking reduction and cessation interventions (alone, or in combination with other interventions), delivered primarily in an outpatient or community-based setting among individuals with mental disorders, on rates of abstinence at the longest follow-up (minimum six months), mental health symptoms and adverse events. Secondary objectives are to examine the impact of such interventions on rates of abstinence at the end of the intervention, change in daily cigarette consumption, and quality-of-life or other function scores. We will explore (via subgroup analyses) potential differential effects on the basis of intervention type, control group type, recruitment setting (inpatient versus outpatient), mental disorder type, and motivation to quit at study intake. We may come across studies testing interventions which aim to increase the uptake of smoking interventions in people with a mental disorder. This may comprise interventions that either are incorporated into the system of delivering care, aimed at health professionals (e.g. Within a community mental health facility), as well as interventions aimed directly at people with a mental disorder to increase uptake. In this case we aim to examine whether these interventions increase the uptake of the smoking cessation treatment among people with a mental disorder, as well as whether they ultimately result in increased quit rates.
|
|
Nova |
2019 |
Twyman L, Cowles C, Walsberger SC, Baker AL, Bonevski B, ' They're going to smoke anyway : A qualitative study of community mental health staff and consumer perspectives on the role of social and living environments in tobacco use and cessation', Frontiers in Psychiatry, 10 1-11 (2019) [C1]
|
|
Nova |
2019 |
Bailey JM, Regan TW, Bartlem KM, Wiggers JH, Wye PM, Bowman JA, 'A survey of the prevalence of modifiable health risk behaviours among carers of people with a mental illness', BMC PUBLIC HEALTH, 19 (2019) [C1]
|
|
Nova |
2018 |
Tremain D, Freund M, Wye P, Bowman J, Wolfenden L, Dunlop A, et al., 'Providing routine chronic disease preventive care in community substance use services: A pilot study of a multistrategic clinical practice change intervention', BMJ Open, 8 (2018) [C1]
|
|
Nova |
2018 |
Hodder RK, Homer S, Freund M, Bowman JA, Lecathelinais C, Coly-Vas K, et al., 'The association between adolescent condom use and individual and environmental resilience protective factors', Australian and New Zealand Journal of Public Health, 42 230-233 (2018) [C1]
Objective: Individual and environmental resilience protective factors are suggested to be associated with adolescent condom use; however, previous studies have not comprehensively... [more]
Objective: Individual and environmental resilience protective factors are suggested to be associated with adolescent condom use; however, previous studies have not comprehensively examined such associations. This study aimed to determine the associations between condom use, and numerous individual and environmental resilience protective factors in sexually active Australian adolescents. Methods: Participants were Grade 10 students attending 28 Australian government high schools (n=1,688). An online survey (2011) collected data regarding: sexual intercourse (past year), condom use and 14 individual and environmental resilience protective factors. Multivariable backward stepwise logistic regression models examined associations between student condom use and protective factors (total, subscale). Results: Only total environmental protective factors remained in the final total score model; students with higher total environmental protective factors scores were 2.59 times more likely to always use a condom(95%CI:1.80-3.74). Only three of 14 protective factor subscales were associated with a higher likelihood of always using a condom in the final subscale model (individual: goals/aspirations; environmental: community participation, pro-social peers). Conclusions: Total environmental and three protective factor subscales demonstrated prominent associations with consistent use of condoms in sexually active adolescents. Implications for public health: Consideration of particular resilience protective factors in adolescent sexual risk behaviour prevention, such as condom use, is warranted.
|
|
Nova |
2018 |
Fehily C, Bartlem K, Wiggers J, Gibson L, Hancox N, Bowman J, 'AWARENESS AND USE OF TELEPHONE BEHAVIOUR CHANGE SERVICES AMONG CLIENTS OF A COMMUNITY MENTAL HEALTH SERVICE', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 25 S44-S44 (2018)
|
|
|
2018 |
Bartlem K, Bailey J, Metse A, Asara A, Wye P, Clancy R, et al., 'Do mental health consumers want to improve their long-term disease risk behaviours? A survey of over 2000 psychiatric inpatients', International Journal of Mental Health Nursing, 27 1032-1043 (2018) [C1]
|
|
Nova |
2018 |
Fehily C, Bartlem K, Wiggers J, Wolfenden L, Regan T, Dray J, et al., 'Systematic review of interventions to increase the provision of care for chronic disease risk behaviours in mental health settings: review protocol', SYSTEMATIC REVIEWS, 7 (2018)
|
|
Nova |
2018 |
Tzelepis F, Wiggers J, Paul CL, Byaruhanga J, Byrnes E, Bowman J, et al., 'A randomised trial of real-time video counselling for smoking cessation in regional and remote locations: study protocol', CONTEMPORARY CLINICAL TRIALS, 74 70-75 (2018)
|
|
|
2018 |
Bailey JM, Hansen V, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Supporting change in chronic disease risk behaviours for people with a mental illness: a qualitative study of the experiences of family carers', BMC PUBLIC HEALTH, 18 (2018) [C1]
|
|
Nova |
2018 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Differential intervention effectiveness of a universal school-based resilience intervention in reducing adolescent substance use within student subgroups: Exploratory assessment within a cluster-randomised controlled trial', BMJ Open, 8 (2018) [C1]
|
|
Nova |
2018 |
Metse AP, Hizam NAN, Wiggers J, Wye P, Bowman JA, 'Factors associated with retention in a smoking cessation trial for persons with a mental illness: A descriptive study', BMC Medical Research Methodology, 18 (2018) [C1]
Background: Exploring factors associated with retention in randomised trials provides insight into potential threats to internal and external study validity, and may inform the de... [more]
Background: Exploring factors associated with retention in randomised trials provides insight into potential threats to internal and external study validity, and may inform the development of interventions to increase retention in future trials. Given a paucity of existing research in the field, a study was conducted to explore factors associated with retention in a smoking intervention trial involving persons with a mental illness, considering demographic and smoking characteristics, treatment condition and engagement in prior follow-up assessments. Method: A descriptive study was undertaken using data derived from a RCT of a smoking cessation intervention initiated in four adult psychiatric inpatient units in New South Wales (NSW), Australia. Retention assessment was undertaken at 1, 6 and 12-months post-discharge. A Generalised Linear Mixed Model was adopted to explore associations between retention at any follow up time point and demographic and smoking characteristics. Chi square analyses explored the association between retention at all follow up time points and treatment condition, and binary logistic regression analyses assessed for relationships between retention at 12-month follow up and engagement in prior follow up assessments. Results: Retention rates were 63, 56 and 60% at the 1, 6 and 12-month assessments, respectively. No association was found between retention at any follow-up time point and 13 of 15 demographic and smoking characteristics. Younger participants and those who identified to be Aboriginal and/or Torres Strait Islander were more likely to be retained (both ps > 0.05). Retention rates did not vary according to treatment condition at any follow-up time point. Participants who completed a prior assessment were more likely to complete the 12 month assessment (both prior assessments: OR 10.7, p < 0.001; 6 month assessment: OR 6.01, p < 0.001; and 1 month assessment: OR 1.8, p = 0.002). Conclusion: The underrepresentation of younger participants and those identifying to be Aboriginal and/or Torres Strait Islander may limit the generalisability of findings. Findings suggest that inclusion of multiple contacts during a trial follow up period may increase retention at the final assessment. Interventions to improve retention, overall and for those sub-groups less likely to be retained, in smoking trials involving persons with a mental illness are needed. Further assessment of sample characteristics, and also trial design factors, associated with retention in this field is warranted.
|
|
Nova |
2018 |
Metse AP, Wiggers J, Wye P, Bowman JA, 'Patient receipt of smoking cessation care in four Australian acute psychiatric facilities', International Journal of Mental Health Nursing, 27 1556-1563 (2018) [C1]
This study aimed to report the receipt of smoking care, and associated clinical and smoking characteristics among smokers admitted to four public psychiatric inpatient facilities ... [more]
This study aimed to report the receipt of smoking care, and associated clinical and smoking characteristics among smokers admitted to four public psychiatric inpatient facilities in New South Wales, Australia. Between October 2012 and July 2014, adult smokers (N¿=¿236) were surveyed during admission to and 1¿month following discharge from the facilities. Measures of smoking care receipt were reported descriptively, and logistic regression analyses were used to explore characteristics associated with care receipt. The majority of participants were offered (78%) and used (78%) nicotine replacement therapy (NRT), with 66% of NRT-users reporting the amount provided was sufficient to reduce cravings. A minority of participants (16%) received information or advice to quit smoking, and 60% reported smoking throughout their admission. Patients not contemplating quitting and those with non-psychotic disorders were more likely to receive an offer of NRT. The findings suggest the provision of smoking care in Australian acute psychiatric units is sub-optimal overall, with an indication that care may be provided selectively to certain patients, rather than systematically to all. Development and dissemination of interventions to increase smoking care provision in inpatient psychiatry are needed.
|
|
Nova |
2017 |
Lawn S, Bowman J, Wye P, Wiggers J, 'Exploring the Potential for Family Carers to Support People With Mental Illness to Stop Smoking', Journal of Dual Diagnosis, 13 52-59 (2017) [C1]
Cigarette smoking poses significant health burdens for people with mental illness. They die sooner than they should, and smoking is a major contributor to their high rates of morb... [more]
Cigarette smoking poses significant health burdens for people with mental illness. They die sooner than they should, and smoking is a major contributor to their high rates of morbid chronic physical health conditions and early mortality, compared to the general population. Family carers provide important support to people with mental illness. However, family carers' perspectives of smoking by their family members with mental illness are largely absent from the research literature and from practice, despite smoking rates remaining high and quit rates remaining low for this population. We know little about how family carers are or could be involved in supporting people with mental illness who smoke to stop smoking. This paper aims to provide a discussion of the opportunities for family carers to support their family member's smoking cessation and a discussion of our preliminary research on this topic. From the available literature, it appears that family carers are well placed to support smoking cessation for this population; however, they struggled physically, philosophically, and emotionally with perceived responsibilities involving their family member's smoking and the caring role. They felt isolated and asserted that there was limited support from service providers to assist them. We concluded that family carers are important agents within the person's immediate environment who could help them to improve their smoking cessation success. This suggests also that mental health services and other health service providers could benefit from including family carers in their efforts to support smoking cessation for people with mental illness who smoke.
|
|
Nova |
2017 |
Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, et al., 'Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services', Drug and Alcohol Review, 36 369-377 (2017) [C1]
Introduction and Aims: Health risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use di... [more]
Introduction and Aims: Health risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use disorders. This study reports the prevalence of these behaviours amongst substance use treatment clients, their attitudes towards modifying such behaviours and the acceptability of receiving support to do so. Client characteristics associated with risk status and interest in modifying behaviours were examined. Design and Methods: A cross-sectional survey was undertaken with clients of 15 community substance use treatment services within in New South Wales, Australia. Data for the study were collected via computer assisted telephone interviews. Results: Of those contactable and eligible, 386 (71%) clients completed the survey. Clients reported a high prevalence of smoking (80%), insufficient fruit and/or vegetable consumption (89%) and insufficient physical activity (31%). Overall, 51¿69% of clients reported considering modifying their health risk behaviours and 88¿97% thought it was acceptable to be provided preventive care to address such behaviours. Younger clients were more likely to smoke (18¿34 years (odds ratio [OR] = 4.6 [95% confidence interval [CI] = 1.9, 11.3]); 35¿54 years (OR = 2.6 [95% CI = 1.2, 5.7])) and be interested in increasing vegetable consumption (18¿34 years (OR = 4.4 [95% CI = 1.3, 14.8]); 35¿54 years (OR = 8.0 [95% CI = 2.5, 25.4])) than older clients (=55 years). Discussion and Conclusions: There is a high prevalence of health risk behaviours amongst clients of community substance use treatment services. However, contrary to commonly cited barriers to care provision, clients are interested in modifying their risk behaviours and report that receiving preventive care to address these behaviours is acceptable. [Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Gow B, Wiggers J. Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services. Drug Alcohol Rev 2017;36:369¿377.].
|
|
Nova |
2017 |
Wye PM, Stockings EA, Bowman JA, Oldmeadow C, Wiggers JH, 'Effectiveness of a clinical practice change intervention in increasing the provision of nicotine dependence treatment in inpatient psychiatric facilities: an implementation trial', BMC PSYCHIATRY, 17 (2017) [C1]
|
|
Nova |
2017 |
McLaren N, Kamper SJ, Hodder RK, Wiggers JH, Wolfenden L, Bowman J, et al., 'Increased Substance Use and Poorer Mental Health in Adolescents With Problematic Musculoskeletal Pain', Journal of Orthopaedic and Sports Physical Therapy, 47 705-711 (2017) [C1]
|
|
Nova |
2017 |
Bailey JM, Wye PM, Stockings EA, Bartlem KM, Metse AP, Wiggers JH, Bowman JA, 'Smoking Cessation Care for People with a Mental Illness: Family Carer Expectations of Health and Community Services', Journal of Smoking Cessation, 12 221-230 (2017) [C1]
|
|
Nova |
2017 |
Wiggers J, McElwaine K, Freund M, Campbell L, Bowman J, Wye P, et al., 'Increasing the provision of preventive care by community healthcare services: a stepped wedge implementation trial', IMPLEMENTATION SCIENCE, 12 (2017) [C1]
|
|
Nova |
2017 |
Stuart A, Baker AL, Bowman J, McCarter K, Denham AMJ, Lee N, et al., 'Protocol for a systematic review of psychological treatment for methamphetamine use: an analysis of methamphetamine use and mental health symptom outcomes', BMJ OPEN, 7 (2017)
|
|
|
2017 |
Dray J, Bowman J, Campbell E, Freund M, Hodder R, Wolfenden L, et al., 'Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents', Journal of Adolescence, 57 74-89 (2017) [C1]
Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing menta... [more]
Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12¿16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).
|
|
Nova |
2017 |
Bailey JM, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Family carers: A role in addressing chronic disease risk behaviours for people with a mental illness?', Preventive Medicine Reports, 7 140-146 (2017) [C1]
People with a mental illness experience greater chronic disease morbidity and mortality compared to those without mental illness. Family carers have the potential to promote the h... [more]
People with a mental illness experience greater chronic disease morbidity and mortality compared to those without mental illness. Family carers have the potential to promote the health behaviours of those they care for however factors which may influence the extent to which they do so have not been reported. An exploratory study was conducted to investigate carers': 1) promotion of fruit and vegetable consumption, physical activity, quitting smoking, and reducing alcohol consumption; 2) perceptions of their role and ability to promote such behaviours; 3) and the association between carer perceptions and the promotion of such behaviours. A cross-sectional survey was conducted with mental health carers (N¿=¿144, 37.6% response rate) in New South Wales, Australia in 2013. Associations between current promotion of health behaviours and carer perceptions were explored through multivariate regression analysis in 2016. A majority of respondents promoted fruit and vegetable consumption (63.8%), physical activity (60.3%), quitting smoking (56.3%), and reducing alcohol consumption (56.2%) to the person they cared for. A perception that it was ¿very important¿ to have a positive influence on these behaviours was positively related with promotion of each of the four behaviours, with those holding such a view being more likely to promote such behaviours, than those who did not (odds ratio: 9.47¿24.13, p¿<¿0.001). The majority (56.2%¿63.8%) of carers reported promoting the health behaviours of those they cared for, demonstrating a need and opportunity to build the capacity of carers to contribute to reducing the health risk behaviours among people with a mental illness.
|
|
Nova |
2017 |
Metse AP, Wiggers J, Wye P, Wolfenden L, Freund M, Clancy R, et al., 'Efficacy of a universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: A randomised controlled trial', Australian and New Zealand Journal of Psychiatry, 51 366-381 (2017) [C1]
Objective: Interventions are required to redress the disproportionate tobacco-related health burden experienced by persons with a mental illness. This study aimed to assess the ef... [more]
Objective: Interventions are required to redress the disproportionate tobacco-related health burden experienced by persons with a mental illness. This study aimed to assess the efficacy of a universal smoking cessation intervention initiated within an acute psychiatric inpatient setting and continued post-discharge in reducing smoking prevalence and increasing quitting behaviours. Method: A randomised controlled trial was undertaken across four psychiatric inpatient facilities in Australia. Participants (N = 754) were randomised to receive either usual care (n = 375) or an intervention comprising a brief motivational interview and self-help material while in hospital, followed by a 4-month pharmacological and psychosocial intervention (n = 379) upon discharge. Primary outcomes assessed at 6 and 12 months post-discharge were 7-day point prevalence and 1-month prolonged smoking abstinence. A number of secondary smoking-related outcomes were also assessed. Subgroup analyses were conducted based on psychiatric diagnosis, baseline readiness to quit and nicotine dependence. Results: Seven-day point prevalence abstinence was higher for intervention participants (15.8%) than controls (9.3%) at 6 months post-discharge (odds ratio = 1.07, p = 0.04), but not at 12 months (13.4% and 10.0%, respectively; odds ratio = 1.03, p = 0.25). Significant intervention effects were not found on measures of prolonged abstinence at either 6 or 12 months post-discharge. Differential intervention effects for the primary outcomes were not detected for any subgroups. At both 6 and 12 months post-discharge, intervention group participants were significantly more likely to smoke fewer cigarettes per day, have reduced cigarette consumption by 3/450% and to have made at least one quit attempt, relative to controls. Conclusions: Universal smoking cessation treatment initiated in inpatient psychiatry and continued post-discharge was efficacious in increasing 7-day point prevalence smoking cessation rates and related quitting behaviours at 6 months post-discharge, with sustained effects on quitting behaviour at 12 months. Further research is required to identify strategies for achieving longer term smoking cessation.
|
|
Nova |
2017 |
Hodder RK, Freund M, Wolfenden L, Bowman J, Nepal S, Dray J, et al., 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit substance use: A meta-analysis', Preventive Medicine, 100 248-268 (2017) [C1]
Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systematic reviews have not ... [more]
Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systematic reviews have not examined the effectiveness of such an intervention approach. A systematic review was undertaken to 1) assess whether universal school-based ¿resilience¿ interventions are effective in reducing the prevalence of tobacco, alcohol or illicit substance use by adolescents, and 2) describe such effectiveness per intervention characteristic subgroups. Eligible studies were peer-reviewed reports (1994¿2015) of randomised controlled trials including participants aged 5¿18¿years that reported adolescent tobacco, alcohol or illicit substance use, and implemented a universal school-based ¿resilience¿ intervention (i.e. those addressing both individual (e.g. self-esteem) and environmental (e.g. school connectedness) protective factors of resilience). Trial effects for binary outcomes were synthesised via meta-analyses and effect sizes reported as odds ratios. Subgroup (by intervention type, prevention approach, setting, intervention duration, follow-up length) and sensitivity analyses (excluding studies at high risk of bias) were conducted. Nineteen eligible studies were identified from 16,619 records (tobacco: n¿=¿15, alcohol: n¿=¿17, illicit: n¿=¿11). An overall intervention effect was found for binary measures of illicit substance use (n¿=¿10; OR: 0.78, 95%CI: 0.6¿0.93, p¿=¿0.007,Tau2¿=¿0.0, I2¿=¿0%), but not tobacco or alcohol use. A similar result was found when studies assessed as high risk of bias were excluded. Overall intervention effects were evident for illicit substance use within multiple intervention characteristic subgroups, but not tobacco and alcohol. Such results support the implementation of universal school-based interventions that address ¿resilience¿ protective factors to reduce adolescent illicit substance use, however suggest alternate approaches are required for tobacco and alcohol use. PROSPERO registration: CRD42014004906.
|
|
Nova |
2017 |
Metse AP, Wiggers JH, Wye PM, Wolfenden L, Prochaska JJ, Stockings EA, et al., 'Smoking and mental illness: A bibliometric analysis of research output over time', Nicotine and Tobacco Research, 19 24-31 (2017) [C1]
Introduction: The prevalence of smoking among persons with a mental illness has remained unchanged, being 2-3 times higher than the general population in high-income countries. As... [more]
Introduction: The prevalence of smoking among persons with a mental illness has remained unchanged, being 2-3 times higher than the general population in high-income countries. Assessment of the volume and characteristics of research output over time can assist in identifying research priorities to promote progress within a field. The aim of this study was to undertake such an assessment in the field of smoking and mental illness. Methods: A descriptive repeat cross-sectional study was conducted of peer-reviewed publications in Medline and PsycINFO for the periods 1993-1995, 2003-2005, and 2013-2015. Publications were classified as data- or non-data-based; data-based publications were further categorized by study type, population, setting, and for intervention-focused publications by level of evidence and research translation phase. Results: Included were 547 articles published in 1993-1995 (n = 65), 2003-2005 (n = 153), and 2013-2015 (n = 329). The number and proportion of data-based publications significantly increased over time, although their focus remained predominantly descriptive (=83%); less than 14% of publications in any period had an intervention focus. The proportion of publications reporting on study populations with multiple diagnostic categories and recruiting from nonmental health settings, significantly increased from 1993-1995 to 2003-2005, however then plateaued by 2013-2015. The level of evidence provided by intervention-focused publications was suggested to increase over time, however there was no evident variation in translation phase. Conclusions: Research has increased over time to characterize smoking among those with a mental illness; however more is needed to inform the development and implementation of effective cessation interventions for this group. Implications: This is the first study to examine the volume and characteristics of research publications in the field of smoking and mental illness over time. The number of publications increased fivefold between 1993-1995 and 2013-2015. Between 1993-1995 and 2003-2005, progression was also indicated by increased: data-based publications, diagnostic diversity of samples, and variation in study settings; however further increases in such measures were not evident in 2013-2015. Notably, it continues to be the case that few intervention studies are undertaken. To achieve meaningful changes in the smoking prevalence of this group, a greater focus on research that assesses the effectiveness and implementation of tailored cessation interventions is required.
|
|
Nova |
2017 |
Fehily C, Bartlem K, Wiggers J, Wyne P, Clancy R, Castle D, et al., 'Evaluating the effectiveness of a healthy lifestyle clinician in addressing the chronic disease risk behaviours of community mental health clients: study protocol for a randomised controlled trial', TRIALS, 18 (2017)
|
|
Nova |
2017 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: cluster-randomised controlled trial', BMJ OPEN, 7 (2017) [C1]
|
|
Nova |
2017 |
Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder RK, et al., 'Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting', Journal of the American Academy of Child and Adolescent Psychiatry, 56 813-824 (2017) [C1]
Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were ra... [more]
Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5-18 years). Subgroup analyses were conducted by age (child: 5-10 years; adolescent: 11-18 years), length of follow-up (short: post-=12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6; PROSPERO CRD42015025908.
|
|
Nova |
2017 |
Daly JB, Freund M, Burrows S, Considine R, Bowman JA, Wiggers JH, 'A Cluster Randomised Controlled Trial of a Brief Child Health Nurse Intervention to Reduce Infant Secondhand Smoke Exposure', Maternal and Child Health Journal, 21 108-117 (2017) [C1]
Background Exposure to secondhand smoke (SHS) is a significant contributor to ill health in children. A study was undertaken to determine the effectiveness of two brief multi-stra... [more]
Background Exposure to secondhand smoke (SHS) is a significant contributor to ill health in children. A study was undertaken to determine the effectiveness of two brief multi-strategic child health nurse delivered interventions in: decreasing the prevalence of infants exposed to SHS; decreasing the prevalence of smoking amongst parent/carers of infants and increasing the prevalence of household smoking bans. Methods This study was a 3 arm, cluster randomised controlled trial. Clusters were 39 community based well child health clinics in one local area health service. Clinics were stratified according to annual number of client appointments and then randomly assigned in a 1:1:1 ratio, (Intervention 1: Intervention 2: Control), with 13 clinics in each cluster. Parents/carers of infants in the intervention groups received a brief multi-strategic intervention from child health nurses during clinic consultations. Treatment condition¿1 included computer delivered risk assessment and feedback and nurse brief advice. Treatment condition¿2 included all elements of Treatment condition¿1 with the addition of biochemical feedback of infant SHS exposure. Results When compared to the Control group at 12¿months, no significant differences in the prevalence of infant exposure to SHS were detected from baseline to follow-up for Treatment condition¿1 (OR 1.16, 95¿% CI 0.73¿1.85, p¿=¿0.53) or Treatment condition¿2 (OR 1.30, 95¿% CI 0.88¿1.92, p¿=¿0.19) Similarly, no significant differences were detected in the proportion of parent/carers who reported that they were smokers (T1:OR 0.95, 95¿% CI 0.78¿1.15, p¿=¿0.58 and T2:OR 0.97, 95¿% CI 0.80¿1.18, p¿=¿0.77), or in the proportion of households reported to have a complete smoking ban (T1:OR 1.21, 95¿% CI 0.89¿1.64, p¿=¿0.23 and T2:OR 1.06, 95¿% CI 0.79¿1.43, p¿=¿0.68). Conclusions Further research is required to identify effective interventions that can be consistently provided by child health nurses if the potential of such settings to contribute to reductions in child SHS exposure is to be realised.
|
|
Nova |
2016 |
Bartlem KM, Bowman J, Freund M, Wye PM, Barker D, McElwaine KM, et al., 'Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
|
|
Nova |
2016 |
Bartlem K, Bowman J, Ross K, Freund M, Wye P, McElwaine K, et al., 'Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision', BMC Psychiatry, 16 (2016) [C1]
Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitude... [more]
Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitudes and such care delivery. This study aimed to explore: i) the attitudes of a multi-disciplinary group of community mental health clinicians regarding their perceived role, perception of client interest, and perceived self-efficacy in the provision of preventive care, ii) whether such attitudes differ by professional discipline, and iii) the association between these attitudes and clinician provision of such care. Method: A telephone survey was conducted with 151 Australian community mental health clinicians regarding their attitudes towards provision of assessment, advice and referral addressing smoking, nutrition, alcohol, and physical activity, and their reported provision of such care. Logistic regression was used to examine the association between attitudes and care delivery, and attitudinal differences by professional discipline. Results: Most clinicians reported that: their manager supported provision of preventive care; such care was part of their role; it would not jeopardise their practitioner-client relationships, clients found preventive care acceptable, and that they had the confidence, knowledge and skills to modify client health behaviours. Half reported that clients were not interested in changing their health behaviours, and one third indicated that the provision of preventive care negatively impacted on time available for delivery of acute care. The following attitudes were positively associated with the provision of preventive care: role congruence, client interest in change, and addressing health risk behaviours will not jeopardise the client-clinician relationship. Conclusions: Strategies are required to translate positive attitudes to improved client care and address attitudes which may hinder the provision of preventive care in community mental health.
|
|
Nova |
2016 |
Metse AP, Wiggers J, Wye P, Moore L, Clancy R, Wolfenden L, et al., 'Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study', BMC PUBLIC HEALTH, 16 (2016) [C1]
|
|
Nova |
2016 |
Wiggins J, Ruth S, Burgess K, Keane R, Stoove MA, Slavin S, Combden I, 'CREATING A DIGITAL HARM REDUCTION TOOL FOR LESBIAN, GAY, BISEXUAL, TRANSGENDER AND INTERSEX PEOPLE EXPERIENCING CO-OCCURRING ISSUES WITH MENTAL HEALTH AND ALCOHOL AND OTHER DRUGS', DRUG AND ALCOHOL REVIEW, 35 74-74 (2016)
|
|
|
2016 |
Smith N, Jordan M, White R, Bowman J, Hayes C, 'Assessment of Adults Experiencing Chronic Non-Cancer Pain: A Randomized Trial of Group Versus Individual Format at an Australian Tertiary Pain Service', Pain medicine (Malden, Mass.), 17 278-294 (2016)
OBJECTIVE: To compare the outcomes of a new group assessment format with conventional individual assessment.... [more]
OBJECTIVE: To compare the outcomes of a new group assessment format with conventional individual assessment.
|
|
|
2016 |
Tremain D, Freund M, Wye P, Wolfenden L, Bowman J, Dunlop A, et al., 'Provision of Chronic Disease Preventive Care in Community Substance Use Services: Client and Clinician Report', Journal of Substance Abuse Treatment, 68 24-30 (2016) [C1]
Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in r... [more]
Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in reducing such health behaviors. This study aimed to examine clinician provision of preventive care to clients of community substance use treatment services. Methods: A cross-sectional survey was undertaken with 386 clients and 54 clinicians of community substance use treatment services in one health district in New South Wales, Australia. Client- and clinician-reported provision of three elements of care (assessment, brief advice and referral) for three health risk behaviors (tobacco smoking, insufficient fruit and/or vegetable consumption and insufficient physical activity) was assessed, with associations with client characteristics examined. Results: Provision was highest for tobacco smoking assessment (90% client reported, 87% clinician reported) and brief advice (79% client reported, 80% clinician reported) and lowest for fruit and vegetable consumption (assessment 23%, brief advice 25%). Few clients reported being offered a referral (<. 10%). Assessment of physical activity and brief advice for all behaviors was higher for clients residing in rural/remote areas. Conclusion: Assessment and brief advice were provided to the majority of clients for smoking, but sub-optimally for the other behaviors. Further investigation of barriers to the provision of preventive care within substance use treatment settings is required, particularly for referral to ongoing support.
|
|
Nova |
2016 |
Paul C, Wolfenden L, Tzelepis F, Yoong S, Bowman J, Wye P, et al., 'Nicotine replacement therapy as a smoking cessation aid among disadvantaged smokers: What answers do we need?', Drug and Alcohol Review, 35 785-789 (2016) [C1]
In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates than the general population. As there are limited data specific to th... [more]
In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates than the general population. As there are limited data specific to these groups regarding the success of nicotine replacement therapy for smoking cessation, this commentary will provide an overview of the relevant international literature supplemented with observational data relevant to the policy contexts in Australia and New Zealand. [Paul C, Wolfenden L, Tzelepis F, Yoong S, Bowman J, Wye P, Sherwood E, Rose S, Wiggers J. Nicotine replacement therapy as a smoking cessation aid among disadvantaged smokers: What answers do we need? Drug Alcohol Rev 2016;35:785¿789].
|
|
Nova |
2016 |
Wiggers JH, Hacker A, Kingsland M, Lecathelinais C, Tindall J, Bowman JA, Wolfenden L, 'Facilitating police recording of the alcohol-related characteristics of assault incidents: A stepped wedge implementation trial', Drug and Alcohol Review, 35 30-39 (2016) [C1]
Introduction and Aims: Enforcement of liquor licensing laws is limited by inadequate police information systems. This study aimed to: (i) determine the effectiveness of an interve... [more]
Introduction and Aims: Enforcement of liquor licensing laws is limited by inadequate police information systems. This study aimed to: (i) determine the effectiveness of an intervention in facilitating police recording of the alcohol consumption characteristics of people involved in assaults; and (ii) describe such characteristics by geographic area and setting of alcohol consumption.Design and Methods: A stepped wedge trial was conducted across New South Wales, Australia. An intervention to facilitate police recording of alcohol consumption information for people involved in incidents was implemented. For people involved in an assault the proportion for which alcohol consumption information was recorded was assessed. The proportion of assaults that were alcohol related, the proportions of people that consumed alcohol prior to the assault, were intoxicated, and had consumed alcohol in various settings, are described.Results: Post-intervention, alcohol consumption information was recorded for 85-100% of people involved in an assault incident. The proportion of incidents recorded as alcohol-related increased significantly (26-44.5%; P<0.0001). The proportion of assaults classified as alcohol related was significantly greater in regional/rural areas (50-47%) than in metropolitan areas (38%). More people in metropolitan areas (54%) consumed alcohol on licensed premises prior to an assault than in regional/rural areas (39-42%), with approximately 70% of persons intoxicated regardless of setting of alcohol consumption. Twenty percent of premises accounted for 60% of assaults linked to licensed premises.Discussion and Conclusions: The intervention was effective in enhancing the recording of alcohol-related information for assault incidents. Such information could enhance targeted policing of liquor licensing laws. [Wiggers JH, Hacker A, Kingsland M, Lecathelinais C, Tindall J, Bowman JA, Wolfenden L. Facilitating police recording of the alcohol-related characteristics of assault incidents: A stepped wedge implementation trial. Drug Alcohol Rev 2015;00:000-000].
|
|
Nova |
2016 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Gillham K, Dray J, Wiggers J, 'Association between adolescent tobacco, alcohol and illicit drug use and individual and environmental resilience protective factors.', BMJ Open, 6 e012688 (2016) [C1]
|
|
Nova |
2016 |
Metse AP, Wiggers J, Wye P, Clancy R, Moore L, Adams M, et al., 'Uptake of smoking cessation aids by smokers with a mental illness', Journal of Behavioral Medicine, 39 876-886 (2016) [C1]
Psychiatric inpatient settings represent an opportunity to initiate the provision of tobacco cessation care to smokers with a mental illness. This study describes the use of evide... [more]
Psychiatric inpatient settings represent an opportunity to initiate the provision of tobacco cessation care to smokers with a mental illness. This study describes the use of evidence-based smoking cessation aids proactively and universally offered to a population of psychiatric inpatients upon discharge, and explores factors associated with their uptake. Data derived from the conduct of a randomised controlled trial were analysed in terms of the proportion of participants (N¿=¿378) that utilised cessation aids including project delivered telephone smoking cessation counselling and nicotine replacement therapy (NRT), and Quitline support. Factors associated with uptake of cessation aids were explored using multivariable logistic regression analyses. A large proportion of smokers utilised project delivered cessation counselling calls (89¿%) and NRT (79¿%), while 11¿% used the Quitline. The majority accepted more than seven project delivered telephone cessation counselling calls (52¿%), and reported NRT use during more than half of their accepted calls (70¿%). Older age, higher nicotine dependence, irregular smoking and seeing oneself as a non-smoker were associated with uptake of behavioural cessation aids. Higher nicotine dependence was similarly associated with use of pharmacological aids, as was NRT use whilst an inpatient. Most smokers with a mental illness took up a proactive offer of aids to support their stopping smoking. Consideration by service providers of factors associated with uptake may increase further the proportion of such smokers who use evidence-based cessation aids and consequently quit smoking successfully.
|
|
Nova |
2016 |
Dray J, Bowman J, Freund M, Campbell E, Hodder R, Lecathelinais C, Wiggers J, 'Mental health problems in a regional population of Australian adolescents: association with socio-demographic characteristics', Child and Adolescent Psychiatry and Mental Health, 10 32-43 (2016) [C1]
|
|
Nova |
2015 |
Dray J, Bowman J, Wolfenden L, Campbell E, Freund M, Hodder R, Wiggers J, 'Systematic review of universal resilience interventions targeting child and adolescent mental health in the school setting: Review protocol', Systematic Reviews, (2015) [C3]
© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience ma... [more]
© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience may act as a protective mechanism towards the development of mental health problems. Resilience refers to the ability to employ a collection of protective factors to return to or maintain positive mental health following disadvantage or adversity. Schools represent a potential setting within which protective factors of all children and adolescents may be fostered through resilience-focussed interventions. Despite this potential, limited research has investigated the effectiveness of universal school-based resilience-focussed interventions on mental health outcomes in children and adolescents. The objective of the present review is to assess the effects of universal school-based resilience-focussed interventions, relative to a comparison group, on mental health outcomes in children and adolescents. Methods/design: Eligible studies will be randomised (including cluster-randomised) controlled trials of universal interventions explicitly described as resilience-focussed or comprising strategies to strengthen a minimum of three internal protective factors, targeting children aged 5 to 18 years, implemented within schools, and reporting a mental health outcome. Screening for studies will be conducted across six electronic databases: MEDLINE, PsycINFO, Educational Resources Information Center (ERIC), Excerpta Medica database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL). Two reviewers will retrieve eligible articles, assess risk of bias, and extract data. Where studies are sufficiently homogenous and reported outcomes are amenable for pooled synthesis, meta-analysis will be performed. Narrative description will be used to synthesise trial outcome data where data cannot be combined or heterogeneity exists. Discussion: This review will aid in building an evidence base for the effectiveness of universal school-based resilience-focussed interventions and in doing so provide an opportunity to better inform the development of interventions to potentially prevent mental health problems in child and adolescent populations. Systematic review registration: PROSPERO CRD42015025908
|
|
|
2015 |
Stockings EAL, Bowman JA, Bartlem KM, Mcelwaine KM, Baker AL, Terry M, et al., 'Implementation of a smoke-free policy in an inpatient psychiatric facility: Patient-reported adherence, support, and receipt of nicotine-dependence treatment', International Journal of Mental Health Nursing, 24 342-349 (2015) [C1]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependen... [more]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.
|
|
Nova |
2015 |
Swain J, Hancock K, Hainsworth C, Bowman J, 'Mechanisms of change: Exploratory outcomes from a randomised controlled trial of acceptance and commitment therapy for anxious adolescents', Journal of Contextual Behavioral Science, 4 56-67 (2015) [C1]
|
|
Nova |
2015 |
Bartlem K, Bowman J, Freund M, Wye P, Lecathelinais C, McElwaine K, et al., 'Acceptability and receipt of preventive care for chronic-disease health risk behaviors reported by clients of community mental health services', Psychiatric Services, 66 857-864 (2015) [C1]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health... [more]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health clinical guidelines recommend preventive care to address such behaviors; however, little information is available about whether clients consider preventive care acceptable or about the prevalence of such care in mental health services. This article describes acceptability and receipt of assessment, advice, and referral for smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption, and physical inactivity, as reported by community mental health service clients. The association between preventive care, diagnosis, and number of clinical appointments was examined. Methods: A cross-sectional telephone interview was conducted with clients (N=558) of community mental health services in Australia. Results: Although preventive care was highly acceptable to clients (86%297%), receipt of preventive care was low. Client receipt of risk assessment ranged from 26% (assessment of fruit or vegetable intake) to 76% (assessment of alcohol consumption). The proportion of clients at risk of and assessed for unhealthy behavior who then received brief advice ranged from 69% (fruit or vegetable intake) to 85% (physical activity), whereas only 38% (alcohol consumption) to 49% (smoking) received any referral. A greater number of mental health appointments were associated with higher prevalence of preventive care, as were diagnoses of diabetes or respiratory conditions and not having a schizophrenia diagnosis. Conclusions: Practice change strategies are required to increase the delivery of routine preventive care within mental health services if clients are to benefit from clinical guidelines.
|
|
Nova |
2015 |
Bartlem KM, Bowman JA, Bailey JM, Freund M, Wye PM, Lecathelinais C, et al., 'Chronic disease health risk behaviours amongst people with a mental illness', Australian and New Zealand Journal of Psychiatry, 49 731-741 (2015) [C1]
Objective: Amongst people with a mental illness, modifiable health risk behaviours contribute substantially to increased chronic disease morbidity and mortality. This study examin... [more]
Objective: Amongst people with a mental illness, modifiable health risk behaviours contribute substantially to increased chronic disease morbidity and mortality. This study examined the prevalence of and interest in changing such behaviours amongst community mental health service clients in Australia. Method: A telephone interview was undertaken with Australian community mental health service clients. Participants reported engagement in four health risk behaviours: tobacco smoking, fruit and vegetable consumption, alcohol consumption, and physical activity. Participants were classified as at risk based upon Australian national guidelines. At-risk participants were asked whether they were considering improving their health risk behaviour within the next month. The association between psychiatric diagnosis and risk, and interest in improving health risk behaviours was examined. Results: Risk prevalence was highest for inadequate vegetable consumption (78.3%), followed by inadequate fruit consumption (60%), smoking (50.7%), physical inactivity (46.8%), short-term alcohol risk (40.3%) and chronic alcohol risk (35.3%). A majority of at-risk participants were considering improving their health risk behaviour for smoking, physical inactivity and inadequate fruit and vegetable consumption (65.1%, 71.1%, and 53.3%, respectively). After adjusting for demographic factors, no diagnostic categories were associated with risk for any behaviour. Those with a diagnosis of depression were more likely to be interested in quitting smoking and increasing physical activity. Conclusions: Regardless of diagnosis, a high prevalence of chronic disease health risk behaviours was identified, with many participants expressing an interest in improving these behaviours. Such findings reinforce recommendations that preventive care addressing the chronic disease risks of clients be provided routinely by mental health clinicians. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12613000693729. URL: www.anzctr.org.au/
|
|
Nova |
2014 |
Metse AP, Bowman JA, Wye P, Stockings E, Adams M, Clancy R, et al., 'Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial.', Trials, 15 266 (2014) [C3]
|
|
Nova |
2014 |
Dray J, Bowman J, Freund M, Campbell E, Wolfenden L, Hodder RK, Wiggers J, 'Improving adolescent mental health and resilience through a resilience-based intervention in schools: study protocol for a randomised controlled trial.', Trials, 15 289 (2014) [C3]
|
|
Nova |
2014 |
Kay-Lambkin FJ, Simpson AL, Bowman J, Childs S, 'Dissemination of a computer-based psychological treatment in a drug and alcohol clinical service: an observational study.', Addiction science & clinical practice, 9 1-9 (2014) [C1]
|
|
Nova |
2014 |
Wolfenden L, Wyse R, Campbell E, Brennan L, Campbell KJ, Fletcher A, et al., 'Randomized controlled trial of a telephone-based intervention for child fruit and vegetable intake: Long-term follow-up', American Journal of Clinical Nutrition, 99 543-550 (2014) [C1]
Background: Telephone-based interventions can be effective in increasing child fruit and vegetable intake in the short term (<6 mo). The long-term efficacy of such intervention... [more]
Background: Telephone-based interventions can be effective in increasing child fruit and vegetable intake in the short term (<6 mo). The long-term efficacy of such interventions, however, is unknown. Objectives: The primary aim of this study was to determine whether the short-term (<6 mo) impact of a telephone-based intervention on children's fruit and vegetable intake was sustained over a longer term. A secondary aim of the study was to assess the long-term impact of the intervention on the intake of foods high in fat, salt, or sugar (noncore foods). Design: The study used a cluster randomized controlled trial design. Parents were recruited from Australian preschools between February and August 2010 and allocated to receive an intervention consisting of print materials and 4 telephone-counseling calls delivered over 1 mo or to a print information-only control group. The primary endpoint for the trial was the 18-mo postbaseline follow-up. Linear regression models were used to assess between-group differences in child consumption of fruit and vegetables and noncore foods by subscales of the Children's Dietary Questionnaire. Results: Fruit and vegetable subscale scores were significantly higher, indicating greater child fruit and vegetable intake, among children in the intervention group at the 12-mo (16.77 compared with 14.89; P < 0.01) but not the 18-mo (15.98 compared with 16.82; P = 0.14) follow-up. There were no significant differences between groups at either of the follow-up periods in the noncore food subscale score. Conclusion: Further research to identify effective maintenance strategies is required to maximize the benefits of telephone-based interventions on child diet. This trial was registered at http://www.anzctr.org. au/ as ACTRN12609000820202. © 2014 American Society for Nutrition.
|
|
Nova |
2014 |
Stockings EA, Bowman JA, Prochaska JJ, Baker AL, Clancy R, Knight J, et al., 'The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: A systematic review', Australian and New Zealand Journal of Psychiatry, 48 617-633 (2014) [C1]
Objective: Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may... [more]
Objective: Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients smoking-related behaviours, motivation, and beliefs. Methods: We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smokefree policy and if they examined any change in patients smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. Results: Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels. Conclusions: A smoke-free psychiatric hospitalization may have © The Royal Australian and New Zealand College of Psychiatrists 2014.
|
|
Nova |
2014 |
Wirrell J, McGill K, Kelly PJ, Bowman J, 'Caring for Someone with Depression: Attitudes and Clinical Practices of Australian Mental Health Workers', AUSTRALIAN PSYCHOLOGIST, 49 403-411 (2014) [C1]
|
|
Nova |
2014 |
Bartlem KM, Bowman JA, Freund M, Wye PM, McElwaine KM, Wolfenden L, et al., 'Care provision to prevent chronic disease by community mental health clinicians', American Journal of Preventive Medicine, 47 762-770 (2014) [C1]
Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision... [more]
Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision of preventive care by mental health services, limited research has examined the extent to which such care is provided.
|
|
Nova |
2014 |
McElwaine KM, Freund M, Campbell EM, Knight J, Bowman JA, Wolfenden L, et al., 'Increasing preventive care by primary care nursing and allied health clinicians a non-randomized controlled trial', American Journal of Preventive Medicine, 47 424-434 (2014) [C1]
Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of preventive care, it is provided suboptimally. Pu... [more]
Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of preventive care, it is provided suboptimally. Purpose: To assess the effectiveness of a practice change intervention in increasing primary care nursing and allied health clinician provision of preventive care for four health risks. Design: Two-group (intervention versus control), non-randomized controlled study assessing the effectiveness of the intervention in increasing clinician provision of preventive care. Setting/participants: Randomly selected clients from 17 primary healthcare facilities participated in telephone surveys that assessed their receipt of preventive care prior to (September 2009-2010, n=876) and following intervention (October 2011-2012, n=1,113). Intervention: The intervention involved local leadership and consensus processes, electronic medical record system modification, educational meetings and outreach, provision of practice change resources and support, and performance monitoring and feedback. Main outcome measures: The primary outcome was differential change in client-reported receipt of three elements of preventive care (assessment, brief advice, referral/follow-up) for each of four behavioral risks individually (smoking, inadequate fruit and vegetable consumption, alcohol overconsumption, physical inactivity) and combined. Logistic regression assessed intervention effectiveness. Results: Analyses conducted in 2013 indicated significant improvements in preventive care delivery in the intervention compared to the control group from baseline to follow-up for assessment of fruit and vegetable consumption (+23.8% vs -1.5%); physical activity (+11.1% vs -0.3%); all four risks combined (+16.9% vs -1.0%) and for brief advice for inadequate fruit and vegetable consumption (+19.3% vs -2.0%); alcohol overconsumption (+14.5% vs -8.9%); and all four risks combined (+14.3% vs +2.2%). The intervention was ineffective in increasing the provision of the remaining forms of preventive care. Conclusions: The intervention's impact on the provision of preventive care varied by both care element and risk type. Further intervention is required to increase the consistent provision of preventive care, particularly referral/follow-up.
|
|
Nova |
2014 |
Campbell S, James EL, Stacey FG, Bowman J, Chapman K, Kelly B, 'A mixed-method examination of food marketing directed towards children in Australian supermarkets', Health Promotion International, 29 267-277 (2014) [C1]
The purpose of this study was to determine the prevalence of children's food requests, and parents' experiences of food marketing directed towards children, in the super... [more]
The purpose of this study was to determine the prevalence of children's food requests, and parents' experiences of food marketing directed towards children, in the supermarket environment. A mixed-method design was used. Firstly, intercept interviews were conducted with parents accompanied by a child/children on exiting supermarkets (sampled from a large regional centre in Australia). Parents were asked about the prevalence and types of food requests by child/children during their supermarket visit and whether they purchased these foods. Secondly, focus groups (n = 13) and telephone interviews (n = 3) were conducted exploring parents' experiences of supermarket shopping with children and the impact of child-directed marketing. Of the 158 intercept survey participants (30% response rate), 73% reported a food request during the supermarket visit. Most requested food items (88%) were unhealthy foods, with chocolate/ confectionery being the most common food category requested (40%). Most parents (70%) purchased at least one food item requested during the shopping trip. Qualitative interviews identified four themes associated with food requests and prompts in the supermarket: parents' experience of pester power in the supermarket; prompts for food requests in the supermarket; parental responses to pestering in the supermarket environment, and; strategies to manage pestering and minimize requests for food items. Food requests from children are common during supermarket shopping. Despite the majority of the requests being unhealthy, parents often purchase these foods. Parents reported difficulties dealing with constant requests and expressed desire for environmental changes including confectionery-free checkouts, minimization of child friendly product placement and reducing children's exposure to food marketing.© The Author (2012). Published by Oxford University Press.
|
|
Nova |
2014 |
Stockings EAL, Bowman JA, Baker AL, Terry M, Clancy R, Wye PM, et al., 'Impact of a postdischarge smoking cessation intervention for smokers admitted to an inpatient psychiatric facility: A randomized controlled trial', Nicotine and Tobacco Research, 16 1417-1428 (2014) [C1]
Introduction: Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study w... [more]
Introduction: Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study was to determine if a smoking cessation intervention initiated during a psychiatric hospitalization and continued postdischarge was effective in reducing smoking behaviors among persons with a mental disorder. Methods: A randomized controlled trial was conducted at an Australian inpatient psychiatric facility. Participants were 205 patient smokers allocated to a treatment as usual control (n = 101) or a smoking cessation intervention (n = 104) incorporating psychosocial and pharmacological support for 4 months postdischarge. Follow-up assessments were conducted at 1 week, 2, 4, and 6 months postdischarge and included abstinence from cigarettes, quit attempts, daily cigarette consumption, and nicotine dependence. Results: Rates of continuous and 7-day point prevalence abstinence did not differ between treatment conditions at the 6-month follow-up; however, point prevalence abstinence was significantly higher for intervention (11.5%) compared with control (2%) participants at 4 months (OR = 6.46, p = .01). Participants in the intervention condition reported significantly more quit attempts (F[1, 202.5] = 15.23, p = .0001), lower daily cigarette consumption (F[4, 586] = 6.5, p < .001), and lower levels of nicotine dependence (F[3, 406] = 8.5, p < .0001) compared with controls at all follow-up assessments. Conclusions: Postdischarge cessation support was effective in encouraging quit attempts and reducing cigarette consumption up to 6 months postdischarge. Additional support strategies are required to facilitate longer-term cessation benefits for smokers with a mental disorder.
|
|
Nova |
2014 |
Wye P, Gow LB, Constable J, Bowman J, Lawn S, Wiggers J, 'Observation of the extent of smoking in a mental health inpatient facility with a smoke-free policy.', BMC Psychiatry, 14 94 (2014) [C1]
|
|
Nova |
2014 |
Hodder RK, Freund M, Wolfenden L, Bowman J, Gillham K, Dray J, Wiggers J, 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit drug use: review protocol.', BMJ Open, 4 e004718 (2014) [C3]
|
|
Nova |
2014 |
Swain J, Hancock K, Dixon A, Bowman J, 'Acceptance and Commitment Therapy for children: A systematic review of intervention studies', Journal of Contextual Behavioral Science, (2014) [C1]
An emerging body of research demonstrates the effectiveness of Acceptance and Commitment Therapy (ACT) in the treatment of adult psychopathology, with several reviews and meta-ana... [more]
An emerging body of research demonstrates the effectiveness of Acceptance and Commitment Therapy (ACT) in the treatment of adult psychopathology, with several reviews and meta-analyses attesting to its effectiveness. While there are comparatively fewer empirical studies of child populations, the past few years has seen burgeoning research interest in the utility of ACT for problems in childhood. A systematic review of the published and unpublished literature was conducted to examine the evidence for ACT in the treatment of children and to provide support for clinical decision making in this area. Searches of PsycInfo, PsycArticles, PsycExtra, Proquest and the Association for Contextual Behavioral Science databases were undertaken, as well as reference lists and citation searches conducted, up to December 2014. Broad inclusion criteria were employed to maximise review breadth. Methodological quality was assessed and a narrative synthesis approach adopted. Twenty-one studies covering a spectrum of presenting problems met inclusion criteria, with a total of 707 participants. Studies were predominantly within-group designs, with a lesser proportion of case studies/series, between-group and randomised controlled trials. The preponderance of evidence suggests ACT results in improvements in clinician, parent and self-reported measures of symptoms, quality of life outcomes and/or psychological flexibility, with many studies demonstrating further gains at follow-up assessment. However, several methodological weaknesses limit conclusions, including small samples, non-randomised designs, and few alternative treatment or control comparisons. While larger scale, methodologically rigorous trials from a broader research teams are needed to consolidate these preliminary findings, emerging evidence suggests ACT is effective in the treatment of children across a multitude of presenting problems. ACT may be a viable alternative treatment option for clinicians working with young people.
|
|
Nova |
2013 |
Healey A, Kay-Lambkin F, Bowman J, Childs S, 'Avoiding emotional bonds: An examination of the dimensions of therapeutic alliance among cannabis users', Frontiers in Psychiatry, 4 (2013) [C1]
|
|
Nova |
2013 |
Bowman J, Fletcher A, Wiggers J, Anderson AE, McElwaine K, Bartlem K, et al., 'Psychologists and Smoking Cessation Intervention: Unrealised Potential', Journal of Smoking Cessation, 8 76-84 (2013) [C1]
|
|
Nova |
2013 |
Stockings E, Bowman J, McElwaine K, Baker A, Terry M, Clancy R, et al., 'Readiness to quit smoking and quit attempts among Australian mental health inpatients.', Nicotine Tob Res, 15 942-949 (2013) [C1]
|
|
Nova |
2013 |
Swain J, Hancock K, Dixon A, Koo S, Bowman J, 'Acceptance and Commitment Therapy for anxious children and adolescents: study protocol for a randomized controlled trial', Trials, 14 (2013) [C3]
|
|
Nova |
2013 |
Turner A, Hambridge J, Baker A, Bowman J, McElduff P, 'Randomised controlled trial of group cognitive behaviour therapy versus brief intervention for depression in cardiac patients', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 47 235-243 (2013) [C1]
|
|
Nova |
2013 |
Swain J, Hancock K, Hainsworth C, Bowman J, 'Acceptance and Commitment Therapy in the treatment of anxiety: A systematic review', Clinical Psychology Review, 33 965-978 (2013) [C1]
With a lifetime prevalence of approximately 17% among community-dwelling adults, anxiety disorders are among the most pervasive of contemporary psychiatric afflictions. Traditiona... [more]
With a lifetime prevalence of approximately 17% among community-dwelling adults, anxiety disorders are among the most pervasive of contemporary psychiatric afflictions. Traditional Cognitive Behaviour Therapy (CBT) is currently the first line evidence-based psychosocial intervention for the treatment of anxiety. Previous research, however, has found that a significant proportion of patients do not respond to traditional CBT or exhibit residual symptomatology at treatment cessation. Additionally, there is a paucity of evidence among child populations and for the comparative effectiveness of alternative interventions. Acceptance and Commitment Therapy (ACT) has a growing empirical base demonstrating its efficacy for an array of problems. A systematic review was conducted to examine the evidence for ACT in the treatment of anxiety. PsycInfo, PsycArticles, PsycExtra, Medline and Proquest databases were searched, reference lists examined and citation searches conducted. Two independent reviewers analysed results, determined study eligibility and assessed methodological quality. Thirty-eight studies met inclusion criteria (total n. = 323). The spectrum of DSM-IV anxiety disorders as well as test and public speaking anxiety were examined. Studies were predominantly between-group design and case studies, with few employing control comparisons. Several methodological issues limit conclusions; however results provide preliminary support for ACT. Larger scale, methodologically rigorous trials are needed to consolidate these findings. © 2013 .
|
|
Nova |
2013 |
Wolfe S, Kay-Lambkin F, Bowman J, Childs S, 'To enforce or engage: The relationship between coercion, treatment motivation and therapeutic alliance within community-based drug and alcohol clients', Addictive Behaviors, 38 2187-2195 (2013) [C1]
|
|
Nova |
2013 |
Said D, Kypri K, Bowman J, 'Risk factors for mental disorder among university students in Australia: findings from a web-based cross-sectional survey', SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 48 935-944 (2013) [C1]
|
|
|
2013 |
Wolfenden L, McKeough A, Bowman J, Paolini S, Francis L, Wye P, Puhl R, 'Experimental investigation of parents and their children's social interaction intentions towards obese children', JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 49 604-607 (2013) [C1]
|
|
Nova |
2013 |
Anderson AE, Bowman JA, Knight J, Wye PM, Terry M, Grimshaw S, Wiggers JH, 'Smoking cessation care provision and support procedures in Australian community mental health centers', Psychiatric Services, 64 707-710 (2013) [C1]
Objective: The study assessed the association of supportive clinical systems and procedures with smoking cessation care at community mental health centers. Methods: Managers (N584... [more]
Objective: The study assessed the association of supportive clinical systems and procedures with smoking cessation care at community mental health centers. Methods: Managers (N584) of community mental health centers in New South Wales, Australia, were asked to complete a survey during 2009 about smoking cessation care. Results: Of the 79 managers who responded, 56% reported that the centers assessed smoking for over 60% of clients, and 34% reported that more than 60% of clients received minimum acceptable smoking cessation care. They reported the use of guidelines and protocols (34%), the use of forms to record smoking status (65%), and the practice of always enforcing smoking bans (52%). Minimum acceptable smoking cessation care was associated with encouraging nicotine replacement therapy for staff who smoke (odds ratio [OR]59.42), using forms for recording smoking status (OR55.80), and always enforcing smoking bans (OR53.82). Conclusions: Smoking cessation care was suboptimal, and additional supportive systems and procedures are required to increase its delivery.
|
|
Nova |
2013 |
Bowman J, Stockings EA, 'Smoking cessation for hospitalised patients: Intensive behavioural counselling started in hospital and continued after discharge increases quit rates; with additional benefit from adding nicotine replacement therapy', Evidence-Based Nursing, 16 21-22 (2013) [C3]
|
|
Nova |
2013 |
McElwaine KM, Freund M, Campbell EM, Knight J, Bowman JA, Doherty EL, et al., 'The delivery of preventive care to clients of community health services', BMC HEALTH SERVICES RESEARCH, 13 (2013) [C1]
|
|
Nova |
2013 |
Fletcher A, Wolfenden L, Wyse R, Bowman J, McElduff P, Duncan S, 'A randomised controlled trial and mediation analysis of the 'Healthy Habits', telephone-based dietary intervention for preschool children', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 10 (2013) [C1]
|
|
Nova |
2013 |
Kay-Lambkin F, Edwards S, Baker A, Kavanagh D, Kelly B, Bowman J, Lewin T, 'The Impact of Tobacco Smoking on Treatment for Comorbid Depression and Alcohol Misuse', International Journal of Mental Health and Addiction, 11 619-633 (2013) [C1]
|
|
Nova |
2013 |
Bartlem K, Bowman J, Freund M, Wye P, McElwaine K, Knight J, et al., 'Evaluating the effectiveness of a clinical practice change intervention in increasing clinician provision of preventive care in a network of community-based mental health services: a study protocol of a non-randomized, multiple baseline trial', IMPLEMENTATION SCIENCE, 8 (2013) [C3]
|
|
Nova |
2012 |
Wyse R, Wolfenden L, Campbell E, Campbell KJ, Wiggers JH, Brennan L, et al., 'A cluster randomized controlled trial of a telephone-based parent intervention to increase preschoolers' fruit and vegetable consumption', American Journal of Clinical Nutrition, 96 102-110 (2012) [C1]
|
|
Nova |
2012 |
Hall AE, Boyes AW, Bowman JA, Walsh RA, James EL, Girgis A, 'Young adult cancer survivors' psychosocial well-being: A cross-sectional study assessing quality of life, unmet needs, and health behaviors', Supportive Care in Cancer, 20 1333-1341 (2012) [C1]
|
|
Nova |
2012 |
Bowman JA, Wiggers JH, Colyvas KJ, Wye PM, Walsh RA, Bartlem KM, 'Smoking cessation among Australian methadone clients: Prevalence, characteristics and a need for action', Drug and Alcohol Review, 31 507-513 (2012) [C1]
|
|
Nova |
2012 |
Kay-Lambkin FJ, Baker AL, Healey A, Wolfe S, Simpson A, Brooks M, et al., 'Study protocol: A dissemination trial of computerized psychological treatment for depression and alcohol/other drug use comorbidity in an Australian clinical service', BMC Psychiatry, 12 77 (2012) [C3]
|
|
Nova |
2012 |
Hodder RK, Freund MA, Bowman JA, Wolfenden L, Campbell EM, Wye PM, et al., 'A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: Study protocol', BMC Public Health, 12 1009 (2012) [C3]
|
|
Nova |
2012 |
Brooks M, Kay-Lambkin FJ, Bowman JA, Childs S, 'Self-compassion amongst clients with problematic alcohol use', Mindfulness, 3 308-317 (2012) [C1]
|
|
Nova |
2012 |
Stockings EA, Clancy RV, Bowman JA, Terry MA, Wye PM, 'A randomised controlled trial linking mental health inpatients to community smoking cessation supports: Preliminary findings and discussion', HNE Handover, 5 12-17 (2012) [C3]
|
|
Nova |
2011 |
Heard TR, Daly JB, Bowman JA, Freund MA, Wiggers JH, 'A cross-sectional survey of the prevalence of environmental tobacco smoke preventive care provision by child health services in Australia', BMC Public Health, 11 324 (2011) [C1]
|
|
Nova |
2011 |
Hodder RK, Daly JB, Freund MA, Bowman JA, Hazell T, Wiggers JH, 'A school-based resilience intervention to decrease tobacco, alcohol and marijuana use in high school students', BMC Public Health, 11 (2011) [C1]
|
|
Nova |
2011 |
Stockings EA, Bowman JA, Wiggers JH, Baker AL, Terry M, Clancy R, et al., 'A randomised controlled trial linking mental health inpatients to community smoking cessation supports: A study protocol', BMC Public Health, 11 570 (2011) [C3]
|
|
|
2011 |
McElwaine KM, Freund MA, Campbell EM, Knight JJ, Slattery C, Doherty E, et al., 'The effectiveness of an intervention in increasing community health clinician provision of preventive care: A study protocol of a non-randomised, multiple-baseline trial', BMC Health Services Research, 11 354 (2011) [C3]
|
|
|
2011 |
Bonevski B, Bowman JA, Richmond R, Bryant JL, Wye PM, Stockings EA, et al., 'Turning of the tide: Changing systems to address smoking for people with a mental illness', Mental Health and Substance Use, 4 116-129 (2011) [C1]
|
|
Nova |
2011 |
Wye PM, Bowman JA, Wiggers JH, Freund MA, Wolfenden L, Stockings EA, 'Treating nicotine dependence in mental health hospitals', Mental Health and Substance Use: Dual Diagnosis, 4 130-143 (2011) [C1]
|
|
Nova |
2011 |
Wolfenden L, Stojanovski E, Wiggers JH, Gillham K, Bowman JA, Richie C, 'Demographic, smoking, and clinical characteristics associated with smoking cessation care provided to patients preparing for surgery', Journal of Addictions Nursing, 22 171-175 (2011) [C1]
|
|
Nova |
2011 |
Wyse R, Wolfenden L, Campbell EM, Campbell K, Brennan L, Fletcher A, et al., 'A pilot study of a telephone-based parental intervention to increase fruit and vegetable consumption in 3-5-year-old children', Public Health Nutrition, 14 2245-2253 (2011) [C1]
|
|
Nova |
2010 |
Turner A, Phillips L, Hambridge JA, Baker AL, Bowman JA, Colyvas KJ, 'Clinical outcomes associated with depression, anxiety and social support among cardiac rehabilitation attendees', Australian and New Zealand Journal of Psychiatry, 44 658-666 (2010) [C1]
|
|
Nova |
2010 |
Wye PM, Bowman JA, Wiggers JH, Baker AL, Carr VJ, Terry MA, et al., 'An audit of the prevalence of recorded nicotine dependence treatment in an Australian psychiatric hospital', Australian and New Zealand Journal of Public Health, 34 298-303 (2010) [C1]
|
|
Nova |
2010 |
Wye P, Bowman JA, Wiggers J, Baker AL, Carr V, Terry M, et al., 'Providing nicotine dependence treatment to psychiatric inpatients: the views of Australian nurse managers', Journal of Psychiatric and Mental Health Nursing, 17 319-327 (2010) [C1]
|
|
Nova |
2010 |
Wyse R, Wolfenden L, Campbell EM, Brennan L, Campbell KJ, Fletcher AL, et al., 'A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: Study protocol', BMC Public Health, 10 1-12 (2010) [C1]
|
|
Nova |
2010 |
Wye PM, Bowman JA, Wiggers JH, Baker AL, Knight JJ, Carr V, et al., 'Total smoking bans in psychiatric inpatient services: a survey of perceived benefits, barriers and support among staff', BMC Public Health, 10 372-383 (2010) [C1]
|
|
Nova |
2009 |
Wye PM, Bowman JA, Wiggers JH, Baker AL, Knight JJ, Carr VJ, et al., 'Smoking restrictions and treatment for smoking: Policies and procedures in psychiatric inpatient units in Australia', Psychiatric Services, 60 100-107 (2009) [C1]
|
|
Nova |
2007 |
Wolfenden L, Dalton A, Bowman JA, Knight JJ, Burrows S, Wiggers JH, 'Computerized assessment of surgical patients for tobacco use: accuracy and acceptability', Journal of Public Health, 29 183-185 (2007) [C1]
|
|
Nova |
2006 |
Turner A, Hambridge J, Baker A, Grace C, Kay-Lambkin F, Bowman J, 'BraveHeart: a new development in cognitive behaviour therapy for co-existing depression and coronary heart disease', JOURNAL OF AFFECTIVE DISORDERS, 91 S27-S27 (2006)
|
|
|
2006 |
Baker AL, Ivers RG, Bowman JA, Butler T, Kay-Lambkin FJ, Wye PM, et al., 'Where there's smoke, there's fire: high prevalence of smoking among some sub-populations and recommendations for intervention', Drug and Alcohol Review, 25 85-96 (2006) [C1]
|
|
|
2006 |
Beilby J, Wutzke SE, Bowman JA, Mackson JM, Weekes LM, 'Evaluation of a national quality use of medicines service in Australia: an evolving model', Journal of Evaluation in Clinical Practice, 12 202-217 (2006) [C1]
|
|
Nova |
2006 |
Turner A, Hambridge J, Baker A, Kay-Lambkin F, Phillips L, Bowman J, 'Depression and anxiety in cardiac rehabilitation patients: characteristics, treatment and outcome.', Acta Neuropsychiatr, 18 310 (2006)
|
|
|
2005 |
Walsh RA, Bowman JA, Tzelepis F, Lecathelinais LC, 'Smoking cessation interventions in Australian drug treatment agencies: a national survey of attitudes and practices', Drug and Alcohol Review, 24 235-244 (2005) [C1]
|
|
Nova |
2005 |
Wright MJ, Harmon KD, Bowman JA, Lewin TJ, Carr VJ, 'Caring for depressed patients in rural communities: general practitioners' attitudes, needs and relationships with mental health services', Australian Journal of Rural Health, 13 21-27 (2005) [C1]
|
|
|
2005 |
Walsh RA, Bowman JA, Tzelepis F, Lecathelinais LC, 'Regulation of environmental tobacco smoke by Australian drug treatment agencies', Australian and New Zealand Journal of Public Health, 29 276-278 (2005) [C1]
|
|
Nova |
2004 |
Bowman J, Sidebottom C, Gillham K, Wiggers J, 'Prevalence and predictors of alcohol involvement in cases attended by the ambulance service, and the role of consumption on licensed premises', Psychology and Health, 19 26-27 (2004)
Objectives: The consequences of acute excessive alcohol consumption for the health and wellbeing of individuals and the community are significant, with drinking on licensed premis... [more]
Objectives: The consequences of acute excessive alcohol consumption for the health and wellbeing of individuals and the community are significant, with drinking on licensed premises accounting for a disproportionate amount of harm. Most data arises from studies undertaken in hospital admission and emergency departments, with significant limitations. Data from ambulance attendances has a potential to contribute to a more accurate picture of alcohol-related harm in the community, but has as yet not been tested. The objectives of this study are: 1. To determine the prevalence and predictors of alcohol involvement in cases attended by the ambulance service 2. To determine the prevalance and predictors of alcohol consumption having occurred on licensed premises, and 3. To gauge the extent of 'new' alcohol-related harm captured that would not be included in hospital data. Methods: One large ambulance station and its officers in Newcastle, NSW, participated. Data was collected from alcohol-related items added to the case sheet information routinely recorded by ambulance officers, and collected for all cases attended over a two-month period. Results: Alcohol was involved in 16% of the 1358 eligible cases from which data were available over the study period, and for 44% of these cases, alcohol had been consumed on a licensed premise. Factors associated with cases of alcohol involvement and with cases where alcohol consumption had occurred on licensed premises, were: being male; young; weekend as opposed to weekday; nighttime as opposed to day-time; and presenting with 'trauma' as opposed to other conditions. Cases where alcohol was involved were three times less likely to be transported to hospital, than in those cases where alcohol was not involved. Conclusions: The extent of alcohol-related harm evident in cases attended by ambulance was substantial, and the role of drinking on licensed premises evident. The study demonstrated the method of data collection used to be feasible, and that a substantial amount of 'new' alcohol related harm was captured.
|
|
|
2004 |
Oberdorfer A, Wiggers JH, Bowman JA, Burrows SA, Cockburn JD, Considine RJ, 'Monitoring and educational feedback to improve the compliance of tattooists and body piercers with infection control standards: A randomized controlled trial', AJIC, 32 147-154 (2004) [C1]
|
|
Nova |
2004 |
Bowman JA, Dyer SC, 'Disordered eating behaviours and maladaptive beliefs', Psychology & Health, 19 26 (2004) [C3] |
|
|
2004 |
Bowman JA, Sidebottom CL, Gillham KE, Wiggers JH, 'Prevalence and predictors of alcohol involvement in cases attended by the ambulance service, and the role of consumption on licensed premises', Psychology & Health, 19 26-27 (2004) [C3]
|
|
Nova |
2004 |
Bowman J, Dyer S, 'Disordered eating behaviours and maladaptive beliefs', Psychology and Health, 19 26 (2004)
Objectives: Relatively little research however investigates the behaviours and beliefs that may be precursors to the development of eating disorders, despite the knowledge that di... [more]
Objectives: Relatively little research however investigates the behaviours and beliefs that may be precursors to the development of eating disorders, despite the knowledge that disordered eating symptoms (such as inappropriate dieting, fasting, bingeing and purging) are very prevalent among young women - though not (yet) meeting clinically diagnostic criteria. The main objective of this study is to examine possible relationships between disordered eating behaviours and 'early maladaptive schemas' - deep cognitive structures developed in childhood, and suggested by recent research to be associated with the development of clinical eating disorders and of value to address in treatment. Such relationships may have implications for early detection and intervention to prevent the development of eating disorders. Methods: A survey of 111 first year Psychology students, aged 17-25 years, was undertaken. Measures included: BMI, body weight dissatisfaction, disordered eating behaviours, depression and anxiety (DASS), and the Young Schema Questionnaire (YSQ-S1). Results: 68% of the sample were dissatisfied with their weight: 30% 'very' or 'extremely'. Of those dissatisfied, 40% nominated an ideal weight that would place them in an underweight BMI category. Disordered eating behaviours, engaged in for the purpose of weight loss, were also prevalent: 67% dieting, 18% fasting, 32% bingeing, and 21% purging, within the past 3 months. Based on practices reported in the past 3 months, subjects were placed in one of the three 'disordered eating behaviour' categories, with the proportions in each as follows: no symptoms (NS) (22%), dieting only (DO) (34%), and eating disordered symptoms (EDS) (44%) (fasting, bingeing, purging). The EDS group had significantly higher mean scores for depression, anxiety and stress than the other groups. The EDS group also had higher scores for the 15 maladaptive schema assessed, significantly so for five (abandonment, social isolation, defectiveness/shame, vulnerability/harm, and emotional inhibition). These particular maladaptive beliefs are those also identified as high among clinical populations with diagnosed eating disorders. Conclusions: Maladaptive beliefs, and measures of emotional distress, were related to the practice of particular disordered eating behaviours with interesting possible implications for detection and early intervention with 'high risk' individuals.
|
|
|
2003 |
Oberdorfer A, Wiggers JH, Bowman JA, Lecathelinais C, 'Infection control practices among tattooists and body piercers in Sydney, Australia', American Journal of Infection Control, 31 447-456 (2003) [C1]
|
|
Nova |
2003 |
Bowman JA, Walsh RA, 'Smoking intervention within alcohol and other drug treatment services: a selective review with suggestions for practical management', Drug and Alcohol Review, 22 73-82 (2003) [C1]
|
|
|
2003 |
Oberdorfer A, Wiggers JH, Considine RJ, Bowman JA, Cockburn JD, 'Skin penetration operators' knowledge and attitudes towards infection control', American Journal of Health Behavior, 27 125-134 (2003) [C1]
|
|
|
2002 |
Bowman J, 'Drinkers, drivers and bartenders. Balancing private choices and public accountability', DRUG AND ALCOHOL REVIEW, 21 94-95 (2002) |
|
|
2002 |
Shakeshaft A, Bowman JA, Sanson-Fisher R, 'Community-based drug and alcohol counselling: who attends and why?', Drug and Alcohol Review, 21 (2) 153-162 (2002) [C1]
|
|
|
2002 |
Shakeshaft A, Bowman JA, Burrows S, Doran C, Sanson-Fisher R, 'Community-based alcohol counselling: a randomized clinical trial', Addiction, 97 1449-1463 (2002) [C1]
|
|
|
2001 |
Walsh RA, Bowman JA, Dorward C, 'Ethics committees: are safeguards excessive?', Drug and Alcohol Review, 20 459-460 (2001) [C1]
|
|
|
2000 |
Newell SA, Bowman JA, Cockburn JD, 'Can compliance with nonpharmacologic treatments for cardiovascular disease by improved?', American Journal of Preventive Medicine, 18(3) 253-261 (2000) [C1]
|
|
|
2000 |
Jibaja ML, Kingery P, Neff NE, Smith Q, Bowman J, Holcomb JD, 'Tailored, interactive soap operas for breast cancer education of high-risk Hispanic women', Journal of Cancer Education, 15 237-242 (2000)
Background. While Hispanic women have lower rates of breast cancer than do women of other ethnic groups, they are the least likely to undergo screening examinations. This study ev... [more]
Background. While Hispanic women have lower rates of breast cancer than do women of other ethnic groups, they are the least likely to undergo screening examinations. This study evaluated a culturally sensitive and linguistically appropriate, tailored, computer-based, educational program for early detection of breast cancer aimed at high-risk Hispanic women. Methods. Spanish-speaking Hispanic women from an inner-city community health clinic were recruited and randomly assigned either to a computer intervention with an interactive soap-opera format (n = 118) or to a comparison group (n = 60). Pre- and posttests were used to identify any change in breast-cancer-related knowledge and beliefs. Results. Both younger (18-40 years old) and older (41-65 years old) women in the intervention group demonstrated significant increases in their breast cancer screening knowledge and beliefs as compared with the younger and older women in the comparison group (n < 0.05). Conclusions. Computer-based tailored and interactive soap operas that are linguistically and culturally appropriate are effective in increasing breast cancer screening knowledge and beliefs among underserved Spanish-speaking Hispanic women.
|
|
|
1999 |
Newell SA, Bowman JA, Cockburn JD, 'A critical review of interventions to increase compliance with medication-taking, obtaining medication refills, and appointment-keeping in the treatment of cardiovascular disease', Preventive Medicine, 29 535-548 (1999) [C1]
|
|
|
1999 |
Shakeshaft AP, Bowman JA, Sanson-Fisher RW, 'A comparison of two retrospective measures of weekly alcohol consumption: Diary and quantity/frequency index', ALCOHOL AND ALCOHOLISM, 34 636-645 [C1]
|
|
|
1998 |
Shakeshaft AP, Bowman JA, Sanson-Fisher RW, 'Comparison of three methods to assess binge consumption: One-week retrospective drinking diary, AUDIT, and quantity/frequency', Substance Abuse, 19 191-203 (1998)
Binge consumption contributes substantially to the occurrence of alcohol-related harm. Despite its importance, binge drinking is not well defined in the literature. The present st... [more]
Binge consumption contributes substantially to the occurrence of alcohol-related harm. Despite its importance, binge drinking is not well defined in the literature. The present study examines the proportions of respondents identified as binge drinkers by three separate measures: a 1- week retrospective drinking diary (RD), the Alcohol Use Disorders Identification Test (AUDIT), and a quantity/frequency (QF) question. Overall, AUDIT detected the highest proportion of binge drinkers, followed by QF and RD. There was also good agreement between QF and RD, as well as QF and AUDIT. Ultimately, the measure of choice should be that which provides information most appropriate to the purposes of each study.
|
|
|
1998 |
Shakeshaft AP, Bowman JA, Sanson-Fisher RW, '', Substance Abuse, 19 191-203 (1998)
|
|
|
1998 |
Shakeshaft AP, Bowman JA, Sanson-Fisher RW, 'Computers in community-based drug and alcohol clinical settings: Are they acceptable to respondents?', Drug and Alcohol Dependence, 50 177-180 (1998) [C1]
|
|
|
1997 |
Shakeshaft AP, Bowman JA, SansonFisher RW, 'Behavioural alcohol research: new directions or more of the same?', ADDICTION, 92 1411-1422 (1997)
|
|
|
1997 |
Bowman JA, SansonFisher R, Redman S, 'The accuracy of self-reported Pap smear utilisation', SOCIAL SCIENCE & MEDICINE, 44 969-976 (1997)
|
|
|
1996 |
McDonald R, Vechi C, Bowman J, SansonFisher R, 'Mental health status of a Latin American community in New South Wales', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 30 457-462 (1996)
|
|
|
1996 |
Grigg M, Bowman J, Redman S, 'Disordered eating and unhealthy weight reduction practices among adolescent females', PREVENTIVE MEDICINE, 25 748-756 (1996)
|
|
|
1995 |
Bowman J, Sanson-Fisher R, Boyle C, Pope S, Redman S, 'A randomised controlled trial of strategies to prompt attendance for a Pap smear', Journal of Medical Screening, 2 211-218 (1995)
To assess the comparative efficacy, by randomised controlled trial, of three interventions designed to encourage ¿at risk¿ women to have a Pap smear: an educational pamphlet; lett... [more]
To assess the comparative efficacy, by randomised controlled trial, of three interventions designed to encourage ¿at risk¿ women to have a Pap smear: an educational pamphlet; letters inviting attendance at a women's health clinic; and letters from physicians. ¿ Subjects at risk for cervical cancer who had not been adequately screened were identified by a random community survey and randomly allocated to one of the intervention groups or a control group. Six months after intervention implementation, a follow up survey assessed subsequent screening attendance. Self report was validated by comparison with a national screening data base. ¿ A significantly greater proportion of women (36.9%) within the group receiving a physician letter reported screening at follow up than in any other group (P =0.012). The variables most strongly predicting screening attendance were: age, perceived frequency of screening required, use of oral contraceptives, and allocation to receive the physician letter intervention. ¿ The relative efficacy of the GP letter in prompting screening attendance shows that this strategy is worthy of further investigation. There remains a need to examine the barriers to screening for older women, and to develop tailored strategies for this population. © 1995, Medical Screening Society. All rights reserved.
|
|
|
1992 |
SANSONFISHER RW, BOWMAN JA, LEEDER SR, 'PREVENTION IN CLINICAL-PRACTICE', MEDICAL JOURNAL OF AUSTRALIA, 156 397-+ (1992)
|
|
|
1992 |
Sanson-Fisher R, Bowman J, Armstrong S, 'Factors affecting nonadherence with antibiotics', Diagnostic Microbiology and Infectious Disease, 15 103-109 (1992)
Nonadherence with antibiotic therapy has profound implications both for patient health and the health care system that bears the financial costs incurred. Significant levels of no... [more]
Nonadherence with antibiotic therapy has profound implications both for patient health and the health care system that bears the financial costs incurred. Significant levels of nonadherence with antibiotic prescriptions have been demonstrated. Of the many proposed variables involved, those that are potentially modifiable relate to aspects of the doctor-patient interaction and drug regimen. Despite the potential for intervention with these variables, there have been very few methodologically sound studies examining their effect on adherence with either medications generally or antibiotics specifically. Only two studies were located that had tested the effectiveness of reduced complexity of antibiotic dosage schedules. The results suggest that the less complex the schedule, the greater is the adherence. Both practitioners and patients must be encouraged to use and accept simpler dosage schedules, preferably once-daily schedules wherever possible. The paucity of well-controlled studoes to date highlights the need for further research evaluating intervention strategies that utilize variations in dosage schedule and elements of the doctor-patient interaction to improve adherence with antibiotic medications. © 1992.
|
|
|
1991 |
BOWMAN JA, REDMAN S, DICKINSON JA, GIBBERD R, SANSONFISHER RW, 'THE ACCURACY OF PAP SMEAR UTILIZATION SELF-REPORT - A METHODOLOGICAL CONSIDERATION IN CERVICAL SCREENING RESEARCH', HEALTH SERVICES RESEARCH, 26 97-107 (1991)
|
|
|
1990 |
BOWMAN JA, REDMAN S, REID ALA, SANSONFISHER RW, 'GENERAL-PRACTITIONERS AND THE PROVISION OF PAPANICOLAOU SMEAR-TESTS - CURRENT PRACTICE, KNOWLEDGE AND ATTITUDES', MEDICAL JOURNAL OF AUSTRALIA, 152 178-183 (1990)
|
|
|
1989 |
BOWMAN JA, REDMAN S, DICKINSON JA, GIBBERD R, SANSONFISHER RW, 'THE ACCURACY OF PAP SMEAR SELF REPORT', COMMUNITY HEALTH STUDIES, 13 368-369 (1989) |
|
|
1988 |
WEBB GR, SANSONFISHER RW, BOWMAN JA, 'PSYCHOSOCIAL FACTORS RELATED TO PARENTAL RESTRAINT OF PRE-SCHOOL CHILDREN IN MOTOR VEHICLES', ACCIDENT ANALYSIS AND PREVENTION, 20 87-94 (1988)
|
|
|
1988 |
WEBB GR, BOWMAN JA, SANSONFISHER RW, 'STUDIES OF CHILD SAFETY RESTRAINT USE IN MOTOR VEHICLES - SOME METHODOLOGICAL CONSIDERATIONS', ACCIDENT ANALYSIS AND PREVENTION, 20 109-115 (1988)
|
|
|
1988 |
REDMAN S, HENNRIKUS DJ, BOWMAN JA, SANSONFISHER RW, 'ASSESSING WOMENS HEALTH NEEDS', MEDICAL JOURNAL OF AUSTRALIA, 148 123-127 (1988)
|
|
|
1987 |
COCKBURN J, REID AL, BOWMAN JA, SANSONFISHER RW, 'EFFECTS OF INTERVENTION ON ANTIBIOTIC COMPLIANCE IN PATIENTS IN GENERAL-PRACTICE', MEDICAL JOURNAL OF AUSTRALIA, 147 324-& (1987)
|
|
|
1987 |
BOWMAN JA, SANSONFISHER RW, WEBB GR, 'INTERVENTIONS IN PRESCHOOLS TO INCREASE THE USE OF SAFETY RESTRAINTS BY PRESCHOOL-CHILDREN', PEDIATRICS, 79 103-109 (1987)
|
|
|
1987 |
BOWMAN JA, 'CERVICAL SCREENING - THE PRACTICES, KNOWLEDGE AND BELIEFS OF WOMEN AT RISK FOR CERVICAL-CANCER (A PILOT SURVEY)', COMMUNITY HEALTH STUDIES, 11 213-214 (1987) |
|
|
1987 |
REDMAN S, BOWMAN J, SANSONFISHER R, 'A COMMUNITY SURVEY OF WOMENS HEALTH NEEDS', COMMUNITY HEALTH STUDIES, 11 232-232 (1987) |
|
|